Individual
SHAYNA DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1130 TEN ROD RD, SUITE F101, NORTH KINGSTOWN, RI 02852-4161
(401) 295-2955
Mailing address
30 CROSSING DR, APT 301, CUMBERLAND, RI 02864-4395
(401) 996-8883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP01206
RI
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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