Provider Demographics
NPI:1952929796
Name:GEORGEU, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:GEORGEU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 COCASSET ST APT 6
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2944
Mailing Address - Country:US
Mailing Address - Phone:401-447-0868
Mailing Address - Fax:
Practice Address - Street 1:15 SUMNER BROWN RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-1214
Practice Address - Country:US
Practice Address - Phone:401-333-6352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00473235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist