Individual
MRS. AMY E DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2568 ALGONKIN TRL, MANASQUAN, NJ 08736-2330
(732) 722-7570
Mailing address
2435 HIGHWAY 34 # 118B, MANASQUAN, NJ 08736-1819
(732) 722-7570
(732) 612-1046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
YS02924
NJ
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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