Doctor Name: | MISS JENNIFER MICHELE EMERSON |
NPI Number: | 1063834885 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | SP.6912 |
Business Practice Address: | 111 Academy Dr Marietta, OH - 457508053 |
Business Phone Number: | 7403746500 |
Business Fax Number: | |
Mailing Address: | 111 Beckwith Ave, WILLIAMSTOWN |
State: | WV |
Postal Code: | 261879722 |
Phone Number: | 7405256701 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2014 |
NPI Last Update Date: | 01/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP.6912 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |