Provider Demographics
NPI:1790043685
Name:FARRIS, EMILY KATHLEEN (AUD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:KATHLEEN
Last Name:FARRIS
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 1:13401 RAILWAY DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-2272
Mailing Address - Country:US
Mailing Address - Phone:405-841-7826
Mailing Address - Fax:405-841-7827
Practice Address - Street 1:13401 RAILWAY DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-2272
Practice Address - Country:US
Practice Address - Phone:405-841-7826
Practice Address - Fax:405-841-7827
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK375231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist