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

Individual provider Speech-Language Pathologist · NPI 1619678208

Ryan Dougherty, MSCCCSLP is a Qualified Speech Language Pathologist in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Global Allied Health LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

4114 N 28th St Apt 3014
Phoenix, AZ 85016-5779
Phone: (541) 969-5213
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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 SLP12631 (AZ)

Record details

NPI number1619678208
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedMarch 13, 2023
Last updated in NPPESMarch 13, 2023
Certification dateMarch 11, 2023
Mailing address4114 N 28th St Apt 3014, Phoenix, AZ 85016-5779

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Global Allied Health Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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