Provider Demographics
NPI:1821637380
Name:CORS, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:CORS
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 1:13720 MIDWAY RD STE 107
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4313
Mailing Address - Country:US
Mailing Address - Phone:214-646-1449
Mailing Address - Fax:214-699-8962
Practice Address - Street 1:13720 MIDWAY RD STE 107
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4313
Practice Address - Country:US
Practice Address - Phone:214-646-1449
Practice Address - Fax:214-699-8962
Is Sole Proprietor?:No
Enumeration Date:2020-01-02
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116427235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist