Doctor Name: | EMILY ANN TYLER |
NPI Number: | 1902035363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. SLP |
License Number: | |
Business Practice Address: | 30 Princeton Blvd Lowell, MA - 018512405 |
Business Phone Number: | 9784548086 |
Business Fax Number: | |
Mailing Address: | 77 Beaconwood Rd, Apt 12 NEWTON |
State: | MA |
Postal Code: | 024611152 |
Phone Number: | 2489300502 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2009 |
NPI Last Update Date: | 07/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |