Doctor Name: | MS. GAIL DAUGHERTY |
NPI Number: | 1700195203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 020183 |
Business Practice Address: | 320 Sunrise Dr Sayville, NY - 117822043 |
Business Phone Number: | 6312446750 |
Business Fax Number: | |
Mailing Address: | 45 E 22nd St, HUNTINGTON STATION |
State: | NY |
Postal Code: | 117463211 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/30/2010 |
NPI Last Update Date: | 11/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020183 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |