Provider Demographics
NPI:1578110946
Name:SPEAKS, EMILY CATHERINE
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:CATHERINE
Last Name:SPEAKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LURAY
Mailing Address - State:VA
Mailing Address - Zip Code:22835-1030
Mailing Address - Country:US
Mailing Address - Phone:540-743-6533
Mailing Address - Fax:
Practice Address - Street 1:735 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835-1030
Practice Address - Country:US
Practice Address - Phone:540-743-6533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist