Individual
EDIE F DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1802 BRAEBURN DR, OUTPATIENT NEURO CLINIC, SALEM, VA 24153-7357
(540) 772-3770
(540) 725-4565
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3770
(540) 725-4565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005804
VA
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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