Provider Demographics
NPI:1497372981
Name:BARNETT, EMILY CATHERINE (AUD)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:CATHERINE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:C
Other - Last Name:FULLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:400 W IH 635 FWY STE 360
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3764
Mailing Address - Country:US
Mailing Address - Phone:972-402-8404
Mailing Address - Fax:972-695-8796
Practice Address - Street 1:400 W IH 635 FWY STE 360
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3764
Practice Address - Country:US
Practice Address - Phone:972-402-8404
Practice Address - Fax:972-695-8796
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81137231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist