Emily Claire Brokens, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Farmington, NM
NPI 1487903944 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1487903944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3715-154 (WI)
- Practice address
- 3401 E 30TH St
Farmington, NM 87402-8805 - Phone
- (414) 581-6250
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 074630 | IA | MD | Speech-Language Pathologist |
| 146016072 | IL | MD | Speech-Language Pathologist |
| SAH-2023-0033 | NM | MD | Speech-Language Pathologist |
| 3715-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SAH-2023-0033 | NM | |
| Speech-Language Pathologist | 235Z00000X | 074630 | IA | |
| Speech-Language Pathologist | 235Z00000X | 146016072 | IL | |
| Speech-Language Pathologist | 235Z00000X | 3715-154 | WI | Yes |
Addresses
Primary practice location
3401 E 30TH St
Farmington, NM 87402-8805
Mailing address
9128 Pheasant LN
Dubuque, IA 52003-9268
Phone (414) 581-6250
Other providers in Farmington, NM
- Brimhall Corporation
- Ezekiel B Brimhall
- Mary A Briody
- Bryan Kent Broadbent
- Marc S. Broadway
- Tanner Brooks
- Brown Psychiatry PLLC
- Andrea Burton Brown
- Brenda L Brown
- Cheyanne Brown
All providers in Farmington, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. 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.