Emily Marie Braden, MS
Individual provider Active NPI Speech-Language Pathologist · Fairfield, IL
NPI 1225812902 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1225812902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2519064 (IL)
- Practice address
- 806 N 1St St
Fairfield, IL 62837-2458 - Phone
- (618) 384-8998
- NPI assigned
- Aug 23, 2023
- 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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2519064 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2519064 | IL | Yes |
Addresses
Primary practice location
806 N 1St St
Fairfield, IL 62837-2458
Mailing address
16176 County Road 1900 N
Springerton, IL 62887-2154
Phone (618) 384-8998
Other names
- Emily Marie Blades
Other providers in Fairfield, IL
- Kayla Shaye Bell
- April Joy Best
- Rosella Leeann Book
- Barbara Denise Bozarth
- Brad McMillin, Inc
- Brain Training Center, LLC
- Kimberly Briggs
- Andrew Michael Britt
- Brookstone Estates of Fairfield
- Matthew Dean Brown
All providers in Fairfield, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. 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.