Emily Ruth Badlam, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Canton, NY
NPI 1205268653 · NPPES record last updated Aug 7, 2013
Key facts
- NPI
- 1205268653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 023015 (NY)
- Practice address
- 40 W Main St
Canton, NY 13617-1249 - Phone
- (315) 386-4504
- NPI assigned
- Aug 7, 2013
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023015 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 023015 | NY | Yes |
Addresses
Primary practice location
40 W Main St
Canton, NY 13617-1249
Mailing address
1212 Washington St
Ogdensburg, NY 13669-1840
Phone (315) 528-9225
Other providers in Canton, NY
- Heather Aschenbrenner
- Shannon Ashley
- Brian Atkins
- Zachary Michael Austin
- Mark Avery
- Brandon Bahr
- Ulana M. Ballan
- Justin Roger Barkley
- Miranda J Barksdale
- Marcia F Barnett
All providers in Canton, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2013. 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.