| Doctor Name: | MRS. EMILY F GREEN |
| NPI Number: | 1801921366 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC SLP |
| License Number: | 2004002564 |
| Business Practice Address: | 906 Sout St Stockton R-i School District Stockton, MO - 657850190 |
| Business Phone Number: | 4172766161 |
| Business Fax Number: | 4172763765 |
| Mailing Address: | Po Box 190, 906 South St STOCKTON |
| State: | MO |
| Postal Code: | 657850190 |
| Phone Number: | 4172766161 |
| Fax Number: | 4172763765 |
| NPI Enumeration Date: | 02/23/2007 |
| NPI Last Update Date: | 02/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2004002564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| 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 |