Emilee S Davis, M.S.-CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

031077-01 Issued in NY

Practice address

131 Drumlin CT
Newark, NY 14513-1863

Phone

(315) 332-7400

NPI assigned

Oct 20, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Emilee S Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1427711175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SCOTT ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131415",
            "telephone_number": "585-721-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 DRUMLIN CT",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131863",
            "telephone_number": "315-332-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EMILEE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.S.-CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031077-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILEE",
            "last_name": "CLARK",
            "middle_name": "S",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michaelle Czapla, M.S., CCC-SLP
• Mary Schweitzer D'Amico, PT
• Anthony J Dasilva, M.D.
• David J Sewert DC PC
• Natalie A Davidson, ACNP
• Ashlee Nicole Deary
• Emily L Debadts, PA
• Lee F Decoster, PHD
• Margaret Ann Dejohn, LPN
• Mary Dejonge

• Speech-Language Pathologist in Newark, NY
• Providers in Newark, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.