Individual
MRS. CHRISTINA DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP, NTMTC
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5980
Mailing address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MO
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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