Provider Demographics
NPI:1033549464
Name:CHRISTENSEN, EMILY LYNN-OTTO (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:LYNN-OTTO
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:138 WEST HIGHLAND RD
Mailing Address - Street 2:SUITE 500-600
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843
Mailing Address - Country:US
Mailing Address - Phone:517-376-4831
Mailing Address - Fax:517-376-4833
Practice Address - Street 1:138 W HIGHLAND RD STE 500-600
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-2170
Practice Address - Country:US
Practice Address - Phone:517-376-4831
Practice Address - Fax:517-376-4833
Is Sole Proprietor?:No
Enumeration Date:2013-11-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI7101000367235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist