Doctor Name: | EMILY CHURCH |
NPI Number: | 1104205210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., SLP-CCC |
License Number: | SP. 10175 |
Business Practice Address: | 1215 Campbell Rd Sidney, OH - 453652507 |
Business Phone Number: | 9374972238 |
Business Fax Number: | |
Mailing Address: | 750 S 4th Ave, SIDNEY |
State: | OH |
Postal Code: | 453659029 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/21/2015 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP. 10175 |
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 |