Provider Demographics
NPI:1710544234
Name:SILVA, EMILY LAIT (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:LAIT
Last Name:SILVA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ELIZABETH
Other - Last Name:LAIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:7125 WINTER POND WAY
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-5486
Mailing Address - Country:US
Mailing Address - Phone:919-348-9174
Mailing Address - Fax:919-375-2538
Practice Address - Street 1:7125 WINTER POND WAY
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-5486
Practice Address - Country:US
Practice Address - Phone:919-348-9174
Practice Address - Fax:919-375-2538
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13533235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist