Provider Demographics
NPI:1134408362
Name:DUGAN, MAURA KATHLEEN (MA CCC SLP)
Entity type:Individual
Prefix:MISS
First Name:MAURA
Middle Name:KATHLEEN
Last Name:DUGAN
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Gender:F
Credentials:MA CCC SLP
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Mailing Address - Street 1:4055 MONROEVILLE BLVD
Mailing Address - Street 2:SUIT 110, CORP ONE OFFICE PARK BUILDING ONE
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2522
Mailing Address - Country:US
Mailing Address - Phone:412-666-3800
Mailing Address - Fax:412-666-3821
Practice Address - Street 1:4055 MONROEVILLE BLVD
Practice Address - Street 2:SUIT 110, CORP ONE OFFICE PARK BUILDING ONE
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2522
Practice Address - Country:US
Practice Address - Phone:412-666-3800
Practice Address - Fax:412-666-3821
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
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Provider Licenses
StateLicense IDTaxonomies
PASL010541235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist