Individual
KATELYNN DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1981 DOUBLE EAGLE DR STE A, SHERIDAN, WY 82801-2132
(307) 429-0837
(307) 215-1512
Mailing address
1134 CROSS CREEK CT, SHERIDAN, WY 82801-8818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1230
WY
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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