Emily Anderson
Individual provider Active NPI Speech-Language Pathologist · Flagstaff, AZ
NPI 1609257294 · NPPES record last updated Jun 9, 2015
Key facts
- NPI
- 1609257294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- TSLP9402 (AZ)
- Practice address
- 3150 N Winding Brook Rd
Flagstaff, AZ 86001-0972 - Phone
- (928) 774-7106
- NPI assigned
- Jun 9, 2015
- 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 |
|---|---|---|---|
| TSLP9402 | AZ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP9402 | AZ | Yes |
Addresses
Primary practice location
3150 N Winding Brook Rd
Flagstaff, AZ 86001-0972
Mailing address
3150 N Winding Brook Rd
Flagstaff, AZ 86001-0972
Other providers in Flagstaff, AZ
- Christine Ameduri
- American Current Care of Arizona PA
- American Current Care of Arizona PA
- Andc, Inc
- Bianca Maria Anderson
- Erin Elizabeth Anderson
- Kristin Nicole Anderson
- Kristy Anderson
- McKenzye Jane Anderson
- Nikkol Kramer Anderson
All providers in Flagstaff, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2015. 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.