Provider Demographics
NPI:1821610759
Name:ENOS, EMILY MARIA (MA CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:MARIA
Last Name:ENOS
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 ASHLAND AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2205
Mailing Address - Country:US
Mailing Address - Phone:440-865-4951
Mailing Address - Fax:
Practice Address - Street 1:2344 ASHLAND AVE # 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2205
Practice Address - Country:US
Practice Address - Phone:440-865-4951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH12560235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist