Provider Demographics
NPI:1245987601
Name:HUBER, EMILY ANN (AUD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:HUBER
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 1:2766 41ST ST S APT 316
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-9095
Mailing Address - Country:US
Mailing Address - Phone:218-371-1947
Mailing Address - Fax:
Practice Address - Street 1:2700 12TH AVE S STE D
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-8723
Practice Address - Country:US
Practice Address - Phone:701-232-2438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-06
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist