Peter O'Dougherty in Staten Island - Speech-language Pathologist
Peter O'Dougherty - NPI 1790800019
Peter O'Dougherty is a Speech-language Pathologist in Staten Island, New York. Peter O'Dougherty practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Peter O'Dougherty is 1790800019. The last update date is 2007-07-08.
Peter O'Dougherty's current location address is 253 Wood Ave, Staten Island, New York. You can contact this provider via phone number 9178347412. The mailing address for Peter O'Dougherty is 253 Wood Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter O'Dougherty |
|---|---|
| Address | 253 Wood Ave, Staten Island, New York |
| Phone Number | 9178347412 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S., CCC- |
NPI Number Detail
| NPI Number | 1790800019 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 253 Wood Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103071350 |
| Phone Number | 9178347412 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 41YS00516800 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the Peter O'Dougherty's 1790800019?
The Peter O'Dougherty's NPI (National Provider Identifier) Number is 1790800019. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Peter O'Dougherty's physical address?
The Peter O'Dougherty is physically located at 253 Wood Ave, in the city of Staten Island, NY, with the postal code 103071350.
What is the Peter O'Dougherty's area of specialization and corresponding taxonomy classification?
The Peter O'Dougherty's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1790800019 assigned to Peter O'Dougherty?
The Peter O'Dougherty was issued its 1790800019 on 2007-03-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Peter O'Dougherty's details last updated?
The information pertaining to the Peter O'Dougherty, including its address, specialty, and other details, was most recently updated on 2007-07-08.