Provider Demographics
NPI:1598395915
Name:TOTEMEIER, EMY PAULINE (BS)
Entity Type:Individual
Prefix:MRS
First Name:EMY
Middle Name:PAULINE
Last Name:TOTEMEIER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 CHICAGO AVE APT E10
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-5871
Mailing Address - Country:US
Mailing Address - Phone:559-907-9113
Mailing Address - Fax:
Practice Address - Street 1:5200 CHICAGO AVE APT E10
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-5871
Practice Address - Country:US
Practice Address - Phone:559-907-9113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59382355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty