| Doctor Name: | MS. DENISE L DOUGHERTY |
| NPI Number: | 1295753366 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP, MFT |
| License Number: | SL004074L |
| Business Practice Address: | 366 N 5th St Indiana, PA - 157011956 |
| Business Phone Number: | 7243494978 |
| Business Fax Number: | 7243494990 |
| Mailing Address: | 366 N 5th St, INDIANA |
| State: | PA |
| Postal Code: | 157011956 |
| Phone Number: | 7243494978 |
| Fax Number: | 7243494990 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL004074L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |