Provider Demographics
NPI:1851172308
Name:TRAHAN, EMILY ANN (MA SLP-CFY)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:TRAHAN
Suffix:
Gender:F
Credentials:MA SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 BEN HUR RD APT 701
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-5185
Mailing Address - Country:US
Mailing Address - Phone:337-499-3553
Mailing Address - Fax:
Practice Address - Street 1:6550 SEVENOAKS AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7324
Practice Address - Country:US
Practice Address - Phone:337-499-3553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9269235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist