Provider Demographics
NPI:1659660363
Name:MONAHAN, EMILY COLE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:COLE
Last Name:MONAHAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 JESS LYONS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-2983
Mailing Address - Country:US
Mailing Address - Phone:662-243-2280
Mailing Address - Fax:
Practice Address - Street 1:300 AIRLINE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39702-6306
Practice Address - Country:US
Practice Address - Phone:662-327-6289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS2209235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist