Provider Demographics
NPI:1609651355
Name:THOMAS, EMILY (AUD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 S SARE RD APT 425
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-8022
Mailing Address - Country:US
Mailing Address - Phone:765-469-7489
Mailing Address - Fax:
Practice Address - Street 1:2920 S MCINTIRE DR STE 350
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-4215
Practice Address - Country:US
Practice Address - Phone:812-353-3277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist