Provider Demographics
NPI:1487002580
Name:POOL, EMILY MICHELLE (MS CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:MICHELLE
Last Name:POOL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5236 W UNIVERSITY DR
Mailing Address - Street 2:SUITE 3500
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7889
Mailing Address - Country:US
Mailing Address - Phone:469-952-5082
Mailing Address - Fax:469-952-5043
Practice Address - Street 1:5236 W UNIVERSITY DR
Practice Address - Street 2:SUITE 3500
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7889
Practice Address - Country:US
Practice Address - Phone:469-952-5082
Practice Address - Fax:469-952-5043
Is Sole Proprietor?:No
Enumeration Date:2016-05-30
Last Update Date:2016-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110738235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist