Provider Demographics
NPI:1205559689
Name:DUFFLEY, EMILYANN A (AUD)
Entity type:Individual
Prefix:DR
First Name:EMILYANN
Middle Name:A
Last Name:DUFFLEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:A
Other - Last Name:DUFFLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:11777 FM 1960 RD W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3513
Mailing Address - Country:US
Mailing Address - Phone:832-828-0831
Mailing Address - Fax:
Practice Address - Street 1:11777 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3513
Practice Address - Country:US
Practice Address - Phone:832-828-0831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81561237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81561OtherTX STATE LICENSE