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Melissa Paulson Dougherty

Developmental Therapist in Gainesville, FL. Individual provider (NPI-1).

NPI number1649032467
StatusActive
Last updated in NPPESJan 26, 2024

Details

NPI
1649032467
Entity type
Individual (NPI-1)
Name
Mrs. Melissa Paulson Dougherty
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 26, 2024
Certification date
Jan 26, 2024
Last updated
Jan 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

1219 Nw 104th Ter
Gainesville, FL 32606-8059

Phone 352-222-8433

Mailing address

1219 Nw 104th Ter
Gainesville, FL 32606-8059

Phone 352-222-8433

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