Provider Demographics
NPI:1851833578
Name:BUZZARD, EMILY (CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:
Last Name:BUZZARD
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 HERLIN PL
Mailing Address - Street 2:APARTMENT 1
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-3137
Mailing Address - Country:US
Mailing Address - Phone:440-391-4710
Mailing Address - Fax:
Practice Address - Street 1:4631 HICKORY WOODS LN
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-4517
Practice Address - Country:US
Practice Address - Phone:513-398-3741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-11
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.11361235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist