Individual
CAROLINE DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 W TREMONT AVE, BRONX, NY 10453-5400
(718) 716-5796
Mailing address
40 W TREMONT AVE, BRONX, NY 10453-5400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
034193
NY
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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