Provider Demographics
NPI:1285884536
Name:DOOLEY, ALICIA M (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:M
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:ALICIA
Other - Middle Name:L
Other - Last Name:MCANULTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:21887 BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-4448
Mailing Address - Country:US
Mailing Address - Phone:315-408-8297
Mailing Address - Fax:
Practice Address - Street 1:171 E HOARD ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-1515
Practice Address - Country:US
Practice Address - Phone:315-785-3750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018719235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist