Dougherty, Denise L

Dougherty, Denise L is an individual health care provider with primary practice located at Po Box 1155 , Indiana PA 15701-1155. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dougherty, Denise L can be contacted via phone (724) 349-4978.

Contact Information

Primary practice address
Po Box 1155 Indiana PA 15701-1155
Phone: (724) 349-4978
Fax: (724) 349-4990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL004074L Pennsylvania

Profile Details

NPI number 1295753366
LBN Legal business name Dougherty, Denise L
Credentials MA, CCC-SLP, MFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295753366 NPPES
Pennsylvania MEDICAID 1013967300001
Pennsylvania Other DO1753263
Pennsylvania Other 202285795

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