Provider Demographics
NPI:1609062348
Name:HOOD, EMILY ERIN (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ERIN
Last Name:HOOD
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:PO BOX 409
Mailing Address - Street 2:
Mailing Address - City:MARIONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65705-0409
Mailing Address - Country:US
Mailing Address - Phone:417-258-7755
Mailing Address - Fax:417-258-2564
Practice Address - Street 1:MARIONVILLE REORGANIZED DIST 9
Practice Address - Street 2:COLLEGE & DELL
Practice Address - City:MARIONVILLE
Practice Address - State:MO
Practice Address - Zip Code:65705-0409
Practice Address - Country:US
Practice Address - Phone:417-258-7755
Practice Address - Fax:417-258-2564
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005020456235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO467475208Medicaid