Provider Demographics
NPI:1225473150
Name:HAYS, EMILY DIANE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:DIANE
Last Name:HAYS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 EAGLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WHITESBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41858-9080
Mailing Address - Country:US
Mailing Address - Phone:606-634-7732
Mailing Address - Fax:606-910-4702
Practice Address - Street 1:60 EAGLE CREEK DR
Practice Address - Street 2:
Practice Address - City:WHITESBURG
Practice Address - State:KY
Practice Address - Zip Code:41858-9080
Practice Address - Country:US
Practice Address - Phone:606-634-7732
Practice Address - Fax:606-910-4702
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY12-053235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist