Individual
EMILY DANIELLE DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Mailing address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22321
FL
235Z00000X
Speech-Language Pathologist
3981
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
.
.
TN
05
—
.
—
TN
Enumeration date
07/30/2020
Last updated
05/08/2024
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