Provider Demographics
NPI:1003146960
Name:QUINN, EMILY DAYLE (MS)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:DAYLE
Last Name:QUINN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 NICHOLSON LN
Mailing Address - Street 2:APT 1623
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:215-272-5003
Mailing Address - Fax:
Practice Address - Street 1:5801 NICHOLSON LN
Practice Address - Street 2:APT 1623
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-5719
Practice Address - Country:US
Practice Address - Phone:215-272-5003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLIMITED LISCENCE -CF235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist