Provider Demographics
NPI:1437393329
Name:EMBLETON, ARTHUR C (CCC-A)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:C
Last Name:EMBLETON
Suffix:
Gender:M
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13010 METRO PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-4701
Mailing Address - Country:US
Mailing Address - Phone:239-561-5616
Mailing Address - Fax:
Practice Address - Street 1:1 PRESTIGE DR
Practice Address - Street 2:SUITE 107
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-7164
Practice Address - Country:US
Practice Address - Phone:203-639-0311
Practice Address - Fax:213-639-1489
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAUD00055231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist