Individual
MS. M DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
15 HALKO DR, CEDAR KNOLLS, NJ 07927-1306
(908) 723-2968
Mailing address
15 HALLO DRIVE, CEDAR KNOLLS, NJ 08753-9049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00431700
NJ
Other
Enumeration date
07/08/2008
Last updated
02/04/2015
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