Emily Miller, SLPA
Individual provider Active NPI Speech-Language Assistant · Clarksville, MO
NPI 1083470652 · NPPES record last updated Feb 22, 2024
Key facts
- NPI
- 1083470652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 2020009575 (MO)
- Practice address
- 28176 Highway WW
Clarksville, MO 63336-2637 - Phone
- (573) 485-2393
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020009575 | MO | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 2020009575 | MO | Yes |
Addresses
Primary practice location
28176 Highway WW
Clarksville, MO 63336-2637
Mailing address
1004 Georgia St
Louisiana, MO 63353-1814
Phone (573) 975-9661
Other providers in Clarksville, MO
All providers in Clarksville, MO · Speech-Language Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.