Provider Demographics
NPI:1881220911
Name:OKOPAL, EMILIE
Entity Type:Individual
Prefix:
First Name:EMILIE
Middle Name:
Last Name:OKOPAL
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 1:630 OLD BRICK RD
Mailing Address - Street 2:
Mailing Address - City:WEST ALEXANDER
Mailing Address - State:PA
Mailing Address - Zip Code:15376-2234
Mailing Address - Country:US
Mailing Address - Phone:724-599-7414
Mailing Address - Fax:
Practice Address - Street 1:310 JEFFERSON AVE APT 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4207
Practice Address - Country:US
Practice Address - Phone:724-599-7414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist