Gayle Marie Daugherty, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01094166 Issued in MI

Practice address

745 Water Tower Rd
Big Rapids, MI 49307-2135

Phone

(231) 592-1061

NPI assigned

Aug 26, 2009

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 names 1

• Ms. Gayle Marie Daugherty Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1427281393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 WATER TOWER RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072135",
            "telephone_number": "231-592-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 WATER TOWER RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072135",
            "telephone_number": "231-592-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "GAYLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "01094166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "DAUGHERTY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "M.A., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joseph Czinder, OD
• Nicholas Scott Czinder, O.D.
• Daniel T. Shea DC,PC
• Pam Daniels, MA, DE
• Johne L Datema, LMSW
• David D. Grear, DDS, PC
• Cassandra Ann Davis, DPT
• Susan M Davis, DO
• Merri-Jo Norman Dawson, LMSW
• Wendy Lee Debruyn, NP

• Speech-Language Pathologist in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.