Individual
CHRISTINA MARIE DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 W 11TH ST, TEMPE, AZ 85281-5330
(949) 599-6361
Mailing address
1300 W 11TH ST, TEMPE, AZ 85281-5330
(949) 599-6361
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14998
AZ
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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