Doctor Name: | EMILY MASHBURN |
NPI Number: | 1902217201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS ED CCC SLP |
License Number: | 13414 |
Business Practice Address: | 763 St Charles Place Rd Hood River, OR - 970318766 |
Business Phone Number: | 7168681023 |
Business Fax Number: | |
Mailing Address: | 763 St Charles Place Rd, HOOD RIVER |
State: | OR |
Postal Code: | 970318766 |
Phone Number: | 7168681023 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2014 |
NPI Last Update Date: | 02/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |