LAURA JEEP DOUGHERTY (NPI# 1750544177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750544177 |
| Entity Type | Individual |
| Full Name | LAURA JEEP DOUGHERTY |
| Credential | MS CCC SLP |
| Practice Address |
312 Solley Dr Ballwin MO 63021-5248 |
| Mailing Address |
6809 Arthur Ave Saint Louis MO 63139-2213 |
| Practice Telephone | 6363910666 |
| Mailing Telephone | 3144026213 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2013-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2009030845 | MO | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 188 | NE | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720347982 | Laura Elizabeth Dougherty | Doula | 425 97th Ln Ne, Blaine, MN 55434-1377 | 2012-05-09 |
| 1326558339 | Laura Dougherty | Behavioral Analyst | 31344 Via Colinas Ste 108, Westlake Village, CA 91362-6797 | 2017-10-04 |
| 1295281202 | Laura Semon Dougherty | Specialist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2016-08-30 |
| 1033241864 | Laura Ann Dougherty | Dentist | 1601 Milltown Rd, Wilmington, DE 19808 | 2007-03-09 |
| 1881632289 | Laura Waikart Dougherty | Allergy & Immunology | 103 Midlands Ct, West Columbia, SC 29169-3456 | 2006-06-04 |
| 1316913387 | Laura Desiree Dougherty | Physician Assistant | 2 Embarcadero Ctr, Lobby Level, San Francisco, CA 94111-3823 | 2006-02-28 |
| Street Address |
312 SOLLEY DR |
| City | BALLWIN |
| State | MO |
| Zip Code | 63021-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478665 | West County Care Center, Inc. | Skilled Nursing Facility | 312 Solley Dr, Ballwin, MO 63021-5248 | 2005-06-23 |
| 1356841571 | Kristin Myers | Speech-Language Pathologist | 312 Solley Dr, Ballwin, MO 63021-5248 | 2018-02-14 |
| 1417373291 | Tiffany Ice | Specialist | 312 Solley Dr, Ballwin, MO 63021-5248 | 2014-03-17 |
| 1871791921 | Maryjane Amad | Physical Therapy Assistant | 312 Solley Dr, Ballwin, MO 63021-5248 | 2007-07-10 |
| 1861698938 | Amy Marie Parker | Occupational Therapist | 312 Solley Dr, Ballwin, MO 63021-5248 | 2007-06-25 |
| 1114122843 | Judith M Kaufman | Occupational Therapy Assistant | 312 Solley Dr, Ballwin, MO 63021-5248 | 2007-06-21 |
| 1225035702 | Community Care Centers, Inc. | Durable Medical Equipment & Medical Supplies | 312 Solley Dr, Rear, Ballwin, MO 63021-5248 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1609285816 | Daniel Rackovan | Specialist/Technologist | 13537 Barret Pkwy Dr, 105, Ballwin, MO 63021 | 2014-08-13 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1831444694 | Manuel A. Ventus | General Practice | 651 Kerryton Pl. Circle, Balwin, MD 63021 | 2012-07-18 |
| 1073879052 | Delois Ann Hurst | Podiatrist | 1393 Big Bend Rd, Ballwin, MO 63021 | 2012-04-04 |
| 1841566445 | Elizabeth Riedel | Home Health | 13610 Barrett Office Drive, Manchester, MO 63021 | 2012-03-28 |
| Find all providers in zip 63021 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051813 | Qiao Ying Li | Speech-Language Pathologist | 673 Cedar Run Dr, Ballwin, MO 63021-6207 | 2020-10-17 |
| 1821537051 | Jodi Main | Speech-Language Pathologist | 265 Steamboat Ln, Ballwin, MO 63011-3203 | 2017-02-21 |
| 1164894192 | Laura Fienup Hooper | Speech-Language Pathologist | 638 Waterford Ridge Dr, Ballwin, MO 63021-5832 | 2015-10-29 |
| 1851711451 | Kathleen Elam Rockwell | Speech-Language Pathologist | 1917 Powderhorn Pass Ct, Ballwin, MO 63011-1717 | 2014-04-22 |
| 1083959381 | Renee Hedges | Speech-Language Pathologist | 122 Smith Dr, Ballwin, MO 63011-3020 | 2012-11-28 |
| 1922318831 | Sharon Bisang | Speech-Language Pathologist | 737 Spring Hill Farm Dr, Ballwin, MO 63021-8420 | 2010-10-13 |
| 1942538020 | Kelly Cleary | Speech-Language Pathologist | 475 Graywood Dr, Ballwin, MO 63011-3459 | 2009-11-30 |
| 1538492665 | Barbara Noronha | Speech-Language Pathologist | 980 Timber Glen Ln, Ballwin, MO 63021-6068 | 2009-09-08 |
| 1245465046 | Jennifer Ann Lane | Speech-Language Pathologist | 963 Timber Glen Ln, Ballwin, MO 63021-6069 | 2009-05-22 |
| 1083837215 | Regina Marie Nolan | Speech-Language Pathologist | 1208 Foxview Ter, Ballwin, MO 63011-4316 | 2007-04-10 |
| Find all providers in BALLWIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.