Kaylee Marie Dougherty, MS,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Export, PA
NPI 1982121638 · NPPES record last updated Mar 16, 2018
Key facts
- NPI
- 1982121638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLO11985 (PA)
- Practice address
- 6335 William Penn Hwy Ste 1000
Export, PA 15632-9056 - Phone
- (412) 223-6876
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLO11985 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Therapy, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
6335 William Penn Hwy
Ste 1000
Export, PA 15632
Phone (412) 223-6876
246 Alpha Dr
Ste 115
Pittsburgh, PA 15238
Phone (412) 223-6876
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLO11985 | PA | Yes |
Addresses
Primary practice location
6335 William Penn Hwy Ste 1000
Export, PA 15632-9056
Mailing address
400 Vernon St
New Kensington, PA 15068-5848
Phone (724) 681-6795
Other providers in Export, PA
- Sannasie Chandrasekaran
- Ella Clark
- Roger W. Coldren
- Corewest, LLC
- David H.J. Pavasko, DMD, P.C.
- Jill L. Ellson
- Amber Elvin
- Amy Lynn Fensch
- Jordan M Ford
- Giant Eagle, Inc
All providers in Export, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.