Laney Nicole Emmendorfer
Speech-Language Pathologist, in Jackson, MI. Individual provider (NPI-1).
NPI number1962046706
StatusActive
Last updated in NPPESNov 5, 2019
Details
- NPI
- 1962046706
- Entity type
- Individual (NPI-1)
- Name
- Laney Nicole Emmendorfer
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2019
- Last updated
- Nov 5, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 7101006617 | MI | Yes |
Practice location
1001 Laurence Ave Ste EJackson, MI 49202-2980
Phone 517-750-4777
Mailing address
1001 Laurence Ave Ste EJackson, MI 49202-2980
Phone 517-750-4777
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 67 Speech-Language Pathologist providers in Jackson · All 4,114 providers in Jackson
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