Individual
MRS. BETSY JEAN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 N JEFFERSON AVE, SPRINGFIELD, MO 65802-3718
(417) 523-5153
Mailing address
940 N JEFFERSON AVE, SPRINGFIELD, MO 65802-3718
(417) 523-5153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01727
MO
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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