Organization
CIRCLE CREEK THERAPY PLLC
Active
Other names
Circle Creek Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNI D DOHERTY MS, CCC-SLP (OWNER)
(253) 237-3405
Entity
Organization
Contact information
Practice address
1314 AUBURN WAY N, AUBURN, WA 98002-4109
(253) 237-3405
(253) 426-3096
Mailing address
1314 AUBURN WAY N, AUBURN, WA 98002-4109
(253) 237-3405
(253) 426-3096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
603544948
WA
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20706086
—
WA
Enumeration date
10/02/2015
Last updated
01/28/2025
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