IndividualActive
Susannah Doherty, SLP
NPI 1669564282 · Speech-Language Pathologist · Jacksonville, FL
Provider details
- NPI number
- 1669564282
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SA3951 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
12276 San Jose Blvd.
Suite 508
Jacksonville, FL 32223-8628
Phone: (904) 886-3228
Approximate (ZIP-level) locationGet directions
Mailing address
1538 Charon Rd
Jacksonville, FL 32205-9202
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.