| Doctor Name: | EMILY LYN RACITANO |
| NPI Number: | 1750703013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 022012 |
| Business Practice Address: | 1801 Old Trolley Rd Suite 101 Summerville, SC - 294858283 |
| Business Phone Number: | 8438713235 |
| Business Fax Number: | 8438713233 |
| Mailing Address: | 45 Sycamore Ave, Apt 424 CHARLESTON |
| State: | SC |
| Postal Code: | 294076710 |
| Phone Number: | 5859682000 |
| Fax Number: | 5859683898 |
| NPI Enumeration Date: | 01/06/2014 |
| NPI Last Update Date: | 07/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 022012 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| 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 |