Active NPIIndividual provider

Mrs. Michelle Dougherty

Speech-Language Pathologist, in Marlton, New Jersey

NPI Number1528303666
Practice location
525 Route 73 North, Suite 104, Marlton, NJ 08053-3422
Fax
—
Last updated
September 6, 2020

Michelle Dougherty is a Speech-Language Pathologist, based in Marlton, NJ. Michelle Dougherty practices in Marlton, NJ. The NPI Number for Michelle Dougherty is 1528303666 and holds a License No. 41ys00540700 (NJ). The current practice location address for Michelle Dougherty is 525 Route 73 North, Suite 104, Marlton, NJ 08053-3422 and can be reached out via phone at 609-575-2661.

Provider Profile Details

NPI Number
1528303666
Provider Name
Michelle Dougherty
Provider Entity Type
Individual
Gender
Female
Address
525 Route 73 North, Suite 104, Marlton, NJ 08053-3422
Phone Number
609-575-2661
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
November 30, 2012
Last Update Date
September 6, 2020
Certification Date
September 6, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Route 73 North
Suite 104
Marlton, NJ 08053-3422
Zip
08053-3422
Phone Number
609-575-2661
Marlton, NJ 08053Get directions →

Provider Business Mailing Address Details

Address
525 Route 73 N Ste 104
Marlton, NJ 08053-3422
City
Marlton
State
NJ
Zip
08053-3422
Phone Number
609-575-2661

License Information

License Number
41ys00540700
License State
NJ
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 Mrs. Michelle Dougherty?

The NPI number of Mrs. Michelle Dougherty is 1528303666. It was assigned on November 30, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Michelle Dougherty?

Mrs. Michelle Dougherty is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41ys00540700.

Where does Mrs. Michelle Dougherty practice?

The practice location is 525 Route 73 North, Suite 104, Marlton, NJ 08053-3422. The office can be reached at 609-575-2661 (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 1528303666 directly on the NPPES registry website.

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