Provider Demographics
NPI:1336101344
Name:EARNEST, EMILY J (MA/CCC-A)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:EARNEST
Suffix:
Gender:F
Credentials:MA/CCC-A
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:J
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1401 MCCOY DR
Mailing Address - Street 2:STE. A
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-2417
Mailing Address - Country:US
Mailing Address - Phone:870-741-4368
Mailing Address - Fax:870-741-9515
Practice Address - Street 1:106 E CRANDALL AVE
Practice Address - Street 2:STE. A
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-3628
Practice Address - Country:US
Practice Address - Phone:870-741-4368
Practice Address - Fax:870-741-9515
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA#341231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist