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MRS. MICHELLE DOUGHERTY
NPI 1528303666
Speech-Language Pathologist in Marlton, NJ

Active since November 30, 2012
525 ROUTE 73 NORTH, SUITE 104, MARLTON, NJ 08053(609) 575-2661 Get Directions Write a Review

NPPES record last updated: September 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2020, Jul 29, 2020 (2 updates tracked since 2020).

About Mrs. Michelle Dougherty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE DOUGHERTY (NPI 1528303666) is an individual speech-language pathologist provider in Marlton, New Jersey, licensed in New Jersey (41YS00540700) and active in the NPI registry since November 2012. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1528303666
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. MICHELLE DOUGHERTY
Location Address525 ROUTE 73 NORTH, SUITE 104Marlton, NJ 08053-3422
Mailing Address525 Route 73 N Ste 104Marlton, NJ 08053-3422 · (609) 575-2661
Phone(609) 575-2661
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 30, 2012
Last NPPES UpdateSeptember 6, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2020
✔ NPI 1528303666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NJ · 41YS00540700
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
525 ROUTE 73 NORTH, Marlton, NJ 08053
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Michelle Dougherty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547487407
PECOS Enrollment IDI20260603001719

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Dougherty's NPI number?

The NPI number for Michelle Dougherty is 1528303666. It was assigned to this individual provider in the NPPES registry on November 30, 2012.

Where is Michelle Dougherty located?

Michelle Dougherty practices at 525 Route 73 North Suite 104, Marlton, NJ 08053. The listed phone number is (609) 575-2661.

What is Michelle Dougherty's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Michelle Dougherty enrolled in Medicare?

Yes. Michelle Dougherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Dougherty was last updated on September 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.