Provider Demographics
NPI:1437403847
Name:GOERGES, EMILY (BC-HIS)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:GOERGES
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:FONTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:69630 STIRLING BLVD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-4620
Mailing Address - Country:US
Mailing Address - Phone:985-327-6264
Mailing Address - Fax:985-898-0066
Practice Address - Street 1:69630 STIRLING BLVD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-4620
Practice Address - Country:US
Practice Address - Phone:985-327-6264
Practice Address - Fax:985-898-0066
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1177237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist