Doctor Name: | EMILY LOCKE |
NPI Number: | 1104063767 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2202005668 |
Business Practice Address: | 1485 International Pkwy Suite 2051 Heathrow, FL - 327465303 |
Business Phone Number: | 8007986035 |
Business Fax Number: | |
Mailing Address: | Po Box 503, CALVERT CITY |
State: | KY |
Postal Code: | 420290503 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/19/2009 |
NPI Last Update Date: | 01/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202005668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |