Provider Demographics
NPI:1043093222
Name:HASS, EMILY EVE
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:EVE
Last Name:HASS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 W QUEEN CREEK RD UNIT 1017
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3402
Mailing Address - Country:US
Mailing Address - Phone:402-879-1358
Mailing Address - Fax:
Practice Address - Street 1:1325 N SHUMWAY AVE
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-1558
Practice Address - Country:US
Practice Address - Phone:480-812-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP14487235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist