Provider Demographics
NPI:1134807423
Name:SARGENT, EMILY MARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:SARGENT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 COUNTY ROUTE 68
Mailing Address - Street 2:
Mailing Address - City:EAGLE BRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:12057-2529
Mailing Address - Country:US
Mailing Address - Phone:518-605-3399
Mailing Address - Fax:
Practice Address - Street 1:204 COUNTY ROUTE 68
Practice Address - Street 2:
Practice Address - City:EAGLE BRIDGE
Practice Address - State:NY
Practice Address - Zip Code:12057-2529
Practice Address - Country:US
Practice Address - Phone:518-605-3399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034744235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist