| Doctor Name: | EMILY MICHELLE SPADE |
| NPI Number: | 1114204955 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SL010624 |
| Business Practice Address: | 160 Greene Plz Rts 21 & 79 Waynesburg, PA - 153708142 |
| Business Phone Number: | 7248522504 |
| Business Fax Number: | 7248522547 |
| Mailing Address: | 160 Greene Plz, Rts 21 & 79 WAYNESBURG |
| State: | PA |
| Postal Code: | 153708142 |
| Phone Number: | 7248522504 |
| Fax Number: | 7248522547 |
| NPI Enumeration Date: | 11/08/2011 |
| NPI Last Update Date: | 11/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL010624 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |