Provider Demographics
NPI:1205012093
Name:DOTY, MAUREEN A (MA, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:A
Last Name:DOTY
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 SCHOOLHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1212
Mailing Address - Country:US
Mailing Address - Phone:732-560-1220
Mailing Address - Fax:732-748-2011
Practice Address - Street 1:29 SCHOOLHOUSE RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1212
Practice Address - Country:US
Practice Address - Phone:732-560-1220
Practice Address - Fax:732-748-2011
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist