Provider Demographics
NPI:1508833088
Name:THE THERAPY TEAM, LLC
Entity Type:Organization
Organization Name:THE THERAPY TEAM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DOUGHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP, MFT
Authorized Official - Phone:724-349-4978
Mailing Address - Street 1:366 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1956
Mailing Address - Country:US
Mailing Address - Phone:724-943-4978
Mailing Address - Fax:724-349-4990
Practice Address - Street 1:366 N 5TH ST
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1956
Practice Address - Country:US
Practice Address - Phone:724-943-4978
Practice Address - Fax:724-349-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty