Provider Demographics
NPI:1043867633
Name:KALTENBACH, EMILY ANN (MA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:KALTENBACH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:KALTENBACH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:10999 REED HARTMAN HWY STE 216
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-8301
Mailing Address - Country:US
Mailing Address - Phone:513-545-9431
Mailing Address - Fax:
Practice Address - Street 1:10999 REED HARTMAN HWY STE 216
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-8301
Practice Address - Country:US
Practice Address - Phone:513-349-4919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-20
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist