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NPI Code Detail

MEDICARE: REBECCA DAUGHERTY

MEDICARE:   REBECCA  DAUGHERTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1669202446
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA DAUGHERTY
Provider Business Mailing Address
First Line : 2758 VIOLET WAY
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-8841
Country : US
Telephone Number : 812-371-4477
Fax Number :
Provider Business Practice Location Address
First Line : 1950 DOCTORS PARK DR
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-2375
Country : US
Telephone Number : 812-373-6103
Fax Number : 888-375-4149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 04/27/2026

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Directions to “ REBECCA DAUGHERTY ” Practice Location

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