Denise L Dougherty, MA, CCC-SLP, MFT

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL004074L Issued in PA

Practice address

PO Box 1155
Indiana, PA 15701-1155

Phone

(724) 349-4978

Fax

(724) 349-4990

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Therapy Team, LLC

  • Speech-Language Pathologist
  • Indiana, PA
  • NPI 1508833088
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1295753366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1155",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011155",
            "telephone_number": "724-349-4978",
            "fax_number": "724-349-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1155",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011155",
            "telephone_number": "724-349-4978",
            "fax_number": "724-349-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "DENISE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL004074L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013967300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "DO1753263",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "202285795",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathreen Dimattia
• Gregory Doke
• Julia Maria Donatelli, PA-C
• Dotts Chiropractic, LLC
• Dotts Chiropractic, LLC
• Rita G Drapkin, PHD
• Gretchen L. Dreikorn, CRNA
• Dana Nicole Dubensky, COTA
• Amber Dubics, PA-C
• Kalean Duffy, LPC

• Speech-Language Pathologist in Indiana, PA
• Providers in Indiana, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.