Lauren Marie Dougherty, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ 5384 Issued in FL

Practice address

8911 Daniels Pkwy
Fort Myers, FL 33912-0870

Phone

(239) 561-2778

Fax

(239) 561-8107

NPI assigned

Oct 26, 2011

Last updated

Oct 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1891071577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SE 12TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901746",
            "telephone_number": "239-462-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 DANIELS PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120870",
            "telephone_number": "239-561-2778",
            "fax_number": "239-561-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ 5384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Fredrick Dotson II, M.D.
• Jay Joseph Doucet, MD
• Maurice M. Douek, MD
• Cathleen Dougherty, MD
• Emily Dougherty, RBT
• Lexi Dougherty, APRN
• Stefani Dougherty
• Douglas a Newland MD PA
• Elena Douglas
• Jenniffer Douglas

• Speech-Language Pathologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.