Emily Souther
Individual provider Active NPI Speech-Language Pathologist · Evans, WV
NPI 1215337175 · NPPES record last updated Aug 28, 2014
Key facts
- NPI
- 1215337175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- P/SLP-0616 (WV)
- Practice address
- 410 Pine Dr
Evans, WV 25241-8112 - Phone
- (304) 532-3614
- NPI assigned
- Aug 28, 2014
- 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 |
|---|---|---|---|
| P/SLP-0616 | WV | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | P/SLP-0616 | WV | Yes |
Addresses
Primary practice location
410 Pine Dr
Evans, WV 25241-8112
Mailing address
410 Pine Dr
Evans, WV 25241-8112
Other providers in Evans, WV
- Joyce McDermott
- Dianna Moore
- Suzette Morrison
- Mary Myers
- Paula Suzanne Sayre
- William Randall Spangler
- Taylor Stoffel
- Linda Tanner
All providers in Evans, WV · Speech-Language Pathologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2014. 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.