Emily C Bowers

Individual provider Active NPI Speech-Language Pathologist · Pfafftown, NC

NPI 1164048948 · NPPES record last updated Jun 17, 2020

Key facts

NPI
1164048948
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
13101 (NC)
Practice address
3637 Clinedale Rd
Pfafftown, NC 27040-9309
Phone
(336) 837-4222
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13101NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Speech Lady, PLLC Speech-Language Pathologist Past
since Jun 21, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13101 NC Yes

Addresses

Primary practice location

3637 Clinedale Rd
Pfafftown, NC 27040-9309

Mailing address

3637 Clinedale Rd
Pfafftown, NC 27040-9309
Phone (336) 816-6336

Other providers in Pfafftown, NC

All providers in Pfafftown, NC · Speech-Language Pathologist in North Carolina

Sources for this page

Verify at the official NPI Registry.