Provider Demographics
NPI:1093768178
Name:PRESCOTT, EMORY ELIZABETH
Entity Type:Individual
Prefix:
First Name:EMORY
Middle Name:ELIZABETH
Last Name:PRESCOTT
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 1:4121 LITTLE SAVANNAH RD
Mailing Address - Street 2:RM 132
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723
Mailing Address - Country:US
Mailing Address - Phone:828-227-7251
Mailing Address - Fax:828-586-8209
Practice Address - Street 1:4121 LITTLE SAVANNAH RD
Practice Address - Street 2:RM 132
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723
Practice Address - Country:US
Practice Address - Phone:828-227-7251
Practice Address - Fax:828-586-8209
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3302235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist