Provider Demographics
NPI:1235300153
Name:ISAKI, EMI (PHD, CCC-SLP)
Entity Type:Individual
Prefix:PROF
First Name:EMI
Middle Name:
Last Name:ISAKI
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 W PINE KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86011-0001
Mailing Address - Country:US
Mailing Address - Phone:928-523-7481
Mailing Address - Fax:928-523-0034
Practice Address - Street 1:208 W PINE KNOLL DR
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86011-0001
Practice Address - Country:US
Practice Address - Phone:928-523-7481
Practice Address - Fax:928-523-0034
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-599235Z00000X
AZ6428235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist