Provider Demographics
NPI:1336907807
Name:ZAHORA, EMILY (MHS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:ZAHORA
Suffix:
Gender:F
Credentials:MHS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7882 SORA ST
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-6893
Mailing Address - Country:US
Mailing Address - Phone:219-741-7168
Mailing Address - Fax:
Practice Address - Street 1:213 S COURT ST STE D
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-3991
Practice Address - Country:US
Practice Address - Phone:219-323-8042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN46004351A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist