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

Kenda Marae Dougherty, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1760681746

Kenda Marae Dougherty, CCC-SLP is a Qualified Speech Language Pathologist in Waseca, Minnesota. Qualified in 2007, 19 years ago. Licensed in Minnesota.

Years since qualifying
19
Licensed in
MN
In the registry since
2007
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

117 State St N
Waseca, MN 56093-2928
Phone: (507) 237-6336
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 8200 (MN)

Record details

NPI number1760681746
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 11, 2007
Last updated in NPPESJune 26, 2024
Certification dateJune 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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