Active NPI
Patricia Lue Doherty, M.S. CCC
- Speech-Language Pathologist
- Norman, OK
National Provider Identifier
1184631392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 562
- Practice address
- 2705 Poplar LN
Norman, OK 73072-6836 - Phone
- (405) 321-7493
- Fax
- (405) 321-2128
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 562 | OK | Primary |
Addresses
Primary practice location
2705 Poplar LN
Norman, OK 73072-6836
Mailing address
2705 Poplar Lane
Norman, OK 73072-6836
Phone (405) 321-7493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 562 | OK | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184631392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 POPLAR LANE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730726836",
"telephone_number": "405-321-7493",
"fax_number": "405-321-2128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 POPLAR LN",
"city": "NORMAN",
"state": "OK",
"postal_code": "730726836",
"telephone_number": "405-321-7493",
"fax_number": "405-321-2128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "PATRICIA",
"middle_name": "LUE",
"name_prefix": "Ms.",
"credential": "M.S. CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.