Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Dougherty, MA/CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1578755567

Kelly Dougherty, MA/CCC-SLP is a Speech-Language Pathologist in Wayne, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2007

Practice location Address checks out

224 Hamburg Tpke
Wayne, NJ 07470-2111
Phone: (973) 956-3360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS00457800 (NJ)

Record details

NPI number1578755567
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA/CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 14, 2007
Last updated in NPPESAugust 14, 2007

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