Provider Demographics
NPI:1730896085
Name:DOWD, EMMA (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:DOWD
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 WACHUSETT ST
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-2609
Mailing Address - Country:US
Mailing Address - Phone:508-688-0054
Mailing Address - Fax:
Practice Address - Street 1:16 CHESTNUT ST STE 102
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-1462
Practice Address - Country:US
Practice Address - Phone:508-698-7973
Practice Address - Fax:508-698-1010
Is Sole Proprietor?:No
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program