Individual
MS. LORI DOUGHERTY NICHOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
3075 RIDGE PIKE, EAGLEVILLE, PA 19403
(610) 265-4700
(610) 265-3439
Mailing address
201 BEECH LN, PERKASIE, PA 18944-5412
(215) 258-3013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005186L
PA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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