Dougherty, Erica Renee
Dougherty, Erica Renee is an sole proprietor health care provider with primary practice located at 210 Charles St , King Of Prussia PA 19406-2507. 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, Erica Renee can be contacted via phone (610) 306-6495.Contact Information
Primary practice address
210 Charles St
King Of Prussia PA 19406-2507
Phone: (610) 306-6495
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146.008401 | Illinois |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL007531 |
Profile Details
| NPI number | 1619009727 |
|---|---|
| LBN Legal business name | Dougherty, Erica Renee |
| Credentials | MS CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | May 30th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619009727 | NPPES |
| Pennsylvania | MEDICAID | 1022448120002 |
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