Provider Demographics
NPI:1619004140
Name:NADLER, EMILY (MA,LSP,CCC,TSHH)
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:
Last Name:NADLER
Suffix:
Gender:F
Credentials:MA,LSP,CCC,TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 DIVISION AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-1923
Mailing Address - Country:US
Mailing Address - Phone:631-859-3121
Mailing Address - Fax:631-277-9105
Practice Address - Street 1:67 DIVISION AVE
Practice Address - Street 2:
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-1923
Practice Address - Country:US
Practice Address - Phone:631-859-3121
Practice Address - Fax:631-277-9105
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0082231235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist