Stephanie Marie Dougherty, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL009722 Issued in PA

Practice address

305 Fernledge Drive
New Kensington, PA 15068-3138

Phone

(724) 681-6796

NPI assigned

Jan 13, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Flourish Therapy, LLC

  • Speech-Language Pathologist
  • Pittsburgh, PA
  • NPI 1790294221
  NPD (past) Authorized official

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1962824839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 FERNLEDGE DR",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150684678",
            "telephone_number": "724-681-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FERNLEDGE DRIVE",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150683138",
            "telephone_number": "724-681-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Dickman, LPN
• Mark T Dickson
• Julie Lynn Dippolito, RPH
• Sara Discello, M.S. CCC-SLP
• Elizabeth Ann Dobbs, PHARMD
• Heather Lee Duncan, M.ED, LPC, NCC, RN
• Dana Grace Duncombe, LSW
• Dustin Durham
• Heidi Durmis, MA
• Bradley Adam Eckels, M.A., LPC

• Speech-Language Pathologist in New Kensington, PA
• Providers in New Kensington, 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 Sep 1, 2016; 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.