Provider Demographics
NPI:1821832684
Name:ANDRUSH, EMILY FAUCHEUX (AUD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:FAUCHEUX
Last Name:ANDRUSH
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 1:1790 KING ARTHUR BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-2040
Mailing Address - Country:US
Mailing Address - Phone:833-842-6389
Mailing Address - Fax:
Practice Address - Street 1:1790 KING ARTHUR BLVD STE 120
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-2040
Practice Address - Country:US
Practice Address - Phone:833-842-6389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81650231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist