Individual
MISS BETH RAE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF SLP
Contact information
Practice address
7380 ULMERTON RD, LARGO, FL 33771-4512
(727) 330-9750
(727) 524-8724
Mailing address
5642 BAYWATER DR, TAMPA, FL 33615-3501
(407) 488-2993
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ4145
FL
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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