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

Individual provider Speech-Language Pathologist · NPI 1528303666

Mrs. Michelle Dougherty is a Qualified Speech Language Pathologist in Marlton, New Jersey. Qualified in 2006, 20 years ago. Licensed in New Jersey.

Years since qualifying
20
Licensed in
NJ
In the registry since
2012
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Practice location Address checks out

525 Route 73 N Ste 104
Marlton, NJ 08053-3422
Phone: (609) 575-2661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41YS00540700 (NJ)

Record details

NPI number1528303666
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 30, 2012
Last updated in NPPESSeptember 6, 2020
Certification dateSeptember 6, 2020
Mailing address525 Route 73 N Ste 104, Marlton, NJ 08053-3422

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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