Active NPIIndividual providerSole proprietor

Kristen J Doherty, MA, CCC-SLP

Speech-Language Pathologist, in Durham, Maine

NPI Number1346875143
Practice location
923 Pinkham Brook RD, Durham, ME 04222-5447
Fax
—
Last updated
February 6, 2024

Kristen J Doherty is a Speech-Language Pathologist, based in Durham, ME. Kristen J Doherty practices in Durham, ME and has the professional credentials of MA, CCC-SLP. The NPI Number for Kristen J Doherty is 1346875143 and holds a License No. SP3076 (ME). The current practice location address for Kristen J Doherty is 923 Pinkham Brook RD, Durham, ME 04222-5447 and can be reached out via phone at 207-544-1001.

Provider Profile Details

NPI Number
1346875143
Provider Name
Kristen J Doherty
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
923 Pinkham Brook RD, Durham, ME 04222-5447
Phone Number
207-544-1001
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 12, 2020
Last Update Date
February 6, 2024
Certification Date
February 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
923 Pinkham Brook RD
Durham, ME 04222-5447
City
Durham
State
Maine
Zip
04222-5447
Phone Number
207-544-1001
Durham, ME 04222Get directions →

Provider Business Mailing Address Details

Address
923 Pinkham Brook RD
Durham, ME 04222-5447
City
Durham
State
ME
Zip
04222-5447
Phone Number
207-544-1001

License Information

License Number
SP3076
License State
ME
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristen J Doherty, MA, CCC-SLP?

The NPI number of Kristen J Doherty, MA, CCC-SLP is 1346875143. It was assigned on March 12, 2020 and is currently active in the NPPES registry.

What is the specialty of Kristen J Doherty, MA, CCC-SLP?

Kristen J Doherty, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number SP3076.

Where does Kristen J Doherty, MA, CCC-SLP practice?

The practice location is 923 Pinkham Brook RD, Durham, ME 04222-5447. The office can be reached at 207-544-1001 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346875143 directly on the NPPES registry website.

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