Doctor Name: | EMILY OTTO |
NPI Number: | 1952707788 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3222 |
Business Practice Address: | 3699 Alexandria Pike Suite D Cold Spring, KY - 410761789 |
Business Phone Number: | 8595720430 |
Business Fax Number: | |
Mailing Address: | 6259 Autumnleaf Ln, CINCINNATI |
State: | OH |
Postal Code: | 452303633 |
Phone Number: | 5132383218 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2014 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |