Provider Demographics
NPI:1225709124
Name:QUIGLEY, EMMA (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 CENTRAL DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6017
Mailing Address - Country:US
Mailing Address - Phone:817-283-4461
Mailing Address - Fax:
Practice Address - Street 1:1000 HARRISON LN
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-5002
Practice Address - Country:US
Practice Address - Phone:817-399-3510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113637235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist