Individual
KRISTEN J DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
923 PINKHAM BROOK RD, DURHAM, ME 04222-5447
(207) 544-1001
Mailing address
923 PINKHAM BROOK RD, DURHAM, ME 04222-5447
(207) 544-1001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3076
ME
Other
Enumeration date
03/12/2020
Last updated
02/06/2024
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