Provider Demographics
NPI:1821203266
Name:EMMERLING-KNOX, LOIS NO MIDDLE NAME GIVEN (SLP)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:NO MIDDLE NAME GIVEN
Last Name:EMMERLING-KNOX
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 1:757 STERLING CT
Mailing Address - Street 2:
Mailing Address - City:MAHTOMEDI
Mailing Address - State:MN
Mailing Address - Zip Code:55115-1477
Mailing Address - Country:US
Mailing Address - Phone:651-747-1361
Mailing Address - Fax:
Practice Address - Street 1:THERAPY CONNECTIONS FOR KIDS
Practice Address - Street 2:80 MINNESOTA AVE W
Practice Address - City:LITTLE CANADA
Practice Address - State:MN
Practice Address - Zip Code:55117
Practice Address - Country:US
Practice Address - Phone:651-481-8040
Practice Address - Fax:651-481-8649
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5584235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist