Individual
STEPHEN TYLER DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 FAIRFAX RD, DREXEL HILL, PA 19026-1209
(215) 606-7860
Mailing address
444 FAIRFAX RD, DREXEL HILL, PA 19026-1209
(215) 606-7860
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
30871
OR
231H00000X
Audiologist
Primary
AT006791
PA
Other
Enumeration date
06/25/2020
Last updated
01/24/2024
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