Provider Demographics
NPI:1356742514
Name:CALLAHAN, EMILY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 534
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-0534
Mailing Address - Country:US
Mailing Address - Phone:740-393-9088
Mailing Address - Fax:740-397-4548
Practice Address - Street 1:1375 YAUGER RD
Practice Address - Street 2:SUITE B
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-8939
Practice Address - Country:US
Practice Address - Phone:740-393-9088
Practice Address - Fax:740-397-4548
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP8503235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist