MS. TRACEY AILEEN DOHERTY CCC-SLP
NPI 1770854150
Speech-Language Pathologist in Palm Bay, FL

Q: What is Tracey Doherty's NPI number?

The NPI number for Tracey Doherty is 1770854150. It was assigned to this individual provider in the NPPES registry on January 18, 2012.

Q: What is Tracey Doherty's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracey Doherty was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 18, 2012

5405 BABCOCK ST NE, PALM BAY, FL 32905(321) 951-2202(321) 951-2201 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Tracey Aileen Doherty Ccc-slp NPPES

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

MS. TRACEY AILEEN DOHERTY CCC-SLP (NPI 1770854150) is an individual speech-language pathologist provider in Palm Bay, Florida, licensed in Florida (SA7922) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1770854150

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. TRACEY AILEEN DOHERTYCredential: CCC-SLP

Location Address5405 BABCOCK ST NEPalm Bay, FL 32905-5020

Mailing Address5405 Babcock St NePalm Bay, FL 32905-5020 · (321) 951-2202 · Fax (321) 951-2201

Phone(321) 951-2202

Fax(321) 951-2201

Sole ProprietorYes

Enumeration DateJanuary 18, 2012

Last NPPES UpdateJune 29, 2015

✔ NPI 1770854150 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 FL · SA7922

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.

5405 BABCOCK ST NE, Palm Bay, FL 32905

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALM BAY HEALTH CARE ASSOCIATES LLC

Skilled Nursing Facility