Individual
KARA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
555 BRIDGEPORT AVE, SHELTON, CT 06484-4749
(203) 922-1773
(203) 924-2334
Mailing address
1931 BLACK ROCK TPKE, ATTN: CREDENTIALING, FAIRFIELD, CT 06825-3506
(203) 332-4363
(203) 330-6761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004901
CT
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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