Provider Demographics
NPI:1356220917
Name:EMERY, MOLLY BOWERS (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:BOWERS
Last Name:EMERY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:BOWERS
Other - Last Name:EMERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:863 SHADY BLUFF TRL
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5974
Mailing Address - Country:US
Mailing Address - Phone:813-760-6139
Mailing Address - Fax:
Practice Address - Street 1:863 SHADY BLUFF TRL
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5974
Practice Address - Country:US
Practice Address - Phone:813-760-6139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA16616235Z00000X
TX166086235Z00000X
TN9301235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist