Provider Demographics
NPI:1689345977
Name:DINGFELDER, EMILY BRIANNE
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:BRIANNE
Last Name:DINGFELDER
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 1:18661 CONELWAY RD
Mailing Address - Street 2:
Mailing Address - City:CORRY
Mailing Address - State:PA
Mailing Address - Zip Code:16407-8909
Mailing Address - Country:US
Mailing Address - Phone:814-664-0272
Mailing Address - Fax:
Practice Address - Street 1:127 PARK ST
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:NY
Practice Address - Zip Code:14781-9624
Practice Address - Country:US
Practice Address - Phone:716-761-6121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-26
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031088235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist