| Doctor Name: | EMILY MORA |
| NPI Number: | 1245232966 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 2302-004080 |
| Business Practice Address: | 3750 Joseph Siewick Dr Fairfax, VA - 220331742 |
| Business Phone Number: | 7033911026 |
| Business Fax Number: | 7033911027 |
| Mailing Address: | 9900 Main St, Suite 200a FAIRFAX |
| State: | VA |
| Postal Code: | 220313907 |
| Phone Number: | 7032794394 |
| Fax Number: | 7032794214 |
| NPI Enumeration Date: | 08/12/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2302-004080 |
| 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 |