Provider Demographics
NPI:1538844873
Name:HARRISON, EMMA (MS, SLP-CF)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MS, SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 MILWAUKEE AVE APT 10803
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-2931
Mailing Address - Country:US
Mailing Address - Phone:469-952-7257
Mailing Address - Fax:
Practice Address - Street 1:2810 MILWAUKEE AVE APT 10803
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79407-2931
Practice Address - Country:US
Practice Address - Phone:469-952-7257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121007235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist