Provider Demographics
NPI:1265726608
Name:YORK, EMILY G (AUD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:G
Last Name:YORK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:A
Other - Last Name:GUYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2550 FLOWOOD DRIVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232
Mailing Address - Country:US
Mailing Address - Phone:601-709-7700
Mailing Address - Fax:601-709-7701
Practice Address - Street 1:2550 FLOWOOD DRIVE
Practice Address - Street 2:SUITE 303
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232
Practice Address - Country:US
Practice Address - Phone:601-709-7700
Practice Address - Fax:601-709-7701
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA3571231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist