Provider Demographics
NPI:1245563170
Name:COOLEY, EMILEE (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:EMILEE
Middle Name:
Last Name:COOLEY
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:EMILEE
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS,CCC-SLP
Mailing Address - Street 1:5990 CUNNINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-9305
Mailing Address - Country:US
Mailing Address - Phone:479-461-8044
Mailing Address - Fax:
Practice Address - Street 1:5990 CUNNINGHAM ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-9305
Practice Address - Country:US
Practice Address - Phone:479-461-8044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#P8239235Z00000X
TN5458235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ022960Medicaid
AR182336721Medicaid