Individual
KATHLEEN ELIZABETH DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
468 ROGERS ST, LOWELL, MA 01852-4222
(978) 866-4741
Mailing address
468 ROGERS ST, LOWELL, MA 01852-4222
(978) 866-4741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8185
MA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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