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1790800019
PETER O'DOUGHERTY
WESTFIELD, NJ
NPI
1790800019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NJ 41YS00516800)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
Mr. PETER O'DOUGHERTY M.S., CCC-SLP
1515 LAMBERTS MILL RD
WESTFIELD, NJ 07090-4763
Phone number: 908-301-8259
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Mailing Address
Mr. PETER O'DOUGHERTY M.S., CCC-SLP
253 WOOD AVE
STATEN ISLAND, NY 10307-1350
Phone number: 917-834-7412
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