Provider Demographics
NPI:1083051833
Name:HEALY, EMILY NAGLE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:NAGLE
Last Name:HEALY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:ANNE
Other - Last Name:NAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:170 URICK LN
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4926
Mailing Address - Country:US
Mailing Address - Phone:585-752-7607
Mailing Address - Fax:
Practice Address - Street 1:170 URICK LN
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-4926
Practice Address - Country:US
Practice Address - Phone:585-752-7607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22006718A235Z00000X
WVSLP1790235Z00000X
NY1695259235Z00000X
PASL013398235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist