Benjamin Bradley Emerson, MA,CCC-SLP
Speech-Language Pathologist, in Edmond, OK. Individual provider (NPI-1).
NPI number1114536588
StatusActive
Last updated in NPPESJul 30, 2020
Details
- NPI
- 1114536588
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Bradley Emerson
- Credential
- MA,CCC-SLP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2020
- Certification date
- Jul 30, 2020
- Last updated
- Jul 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 3190 | OK | Yes |
Practice location
1101 Red Bud LnEdmond, OK 73034-8040
Phone 405-308-8146
Mailing address
1101 Red Bud LnEdmond, OK 73034-8040
Phone 405-308-8146
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All 186 Speech-Language Pathologist providers in Edmond · All 5,217 providers in Edmond
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