Doctor Name: | MS. PATRICIA LUE DOHERTY |
NPI Number: | 1184631392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC |
License Number: | 562 |
Business Practice Address: | 2705 Poplar Ln Norman, OK - 730726836 |
Business Phone Number: | 4053217493 |
Business Fax Number: | 4053212128 |
Mailing Address: | 2705 Poplar Lane, NORMAN |
State: | OK |
Postal Code: | 730726836 |
Phone Number: | 4053217493 |
Fax Number: | 4053212128 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |