Provider Demographics
NPI:1770973695
Name:BEDDOES, EMILY JOANN (MS)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JOANN
Last Name:BEDDOES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JOANN
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:6 JASMINE PL
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSVILLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28480-1958
Mailing Address - Country:US
Mailing Address - Phone:910-256-4940
Mailing Address - Fax:910-256-4940
Practice Address - Street 1:6 JASMINE PL
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE BEACH
Practice Address - State:NC
Practice Address - Zip Code:28480-1958
Practice Address - Country:US
Practice Address - Phone:910-256-4940
Practice Address - Fax:910-256-4940
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2089231H00000X
NC632237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist