Individual
AMY L DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
25844 OLD SPIRAL HWY, LEWISTON, ID 83501-5893
(208) 305-1847
Mailing address
25844 OLD SPIRAL HWY, LEWISTON, ID 83501-5893
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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