Provider Demographics
NPI:1184104838
Name:HALLAB, EMMA (AUD)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:HALLAB
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7221 W 79TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2978
Mailing Address - Country:US
Mailing Address - Phone:913-717-4000
Mailing Address - Fax:
Practice Address - Street 1:2006 N 291 HWY
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701-1224
Practice Address - Country:US
Practice Address - Phone:816-884-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2344231H00000X
KS1745237600000X
MO2018028923237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist