| Doctor Name: | KARA DOHERTY |
| NPI Number: | 1740684075 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | 004901 |
| Business Practice Address: | 555 Bridgeport Ave Shelton, CT - 064844749 |
| Business Phone Number: | 2039221773 |
| Business Fax Number: | 2039242334 |
| Mailing Address: | 1931 Black Rock Tpke, Attn: Credentialing FAIRFIELD |
| State: | CT |
| Postal Code: | 068253506 |
| Phone Number: | 2033324363 |
| Fax Number: | 2033306761 |
| NPI Enumeration Date: | 10/15/2014 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 004901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| 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 |