Individual
EILEEN DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
854 MORGAN PL, FRONT ROYAL, VA 22630-4710
(540) 325-2883
Mailing address
854 MORGAN PL, FRONT ROYAL, VA 22630-4710
(540) 325-2883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005012
VA
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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