Individual
MRS. BARBARA BAKER DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
850 OLD STATE RD, BERWYN, PA 19312-1443
(610) 296-9768
Mailing address
850 OLD STATE RD, BERWYN, PA 19312-1443
(610) 296-9768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL001196L
PA
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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