Provider Demographics
NPI:1730908724
Name:MEUSE, EMILY ANN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:MEUSE
Suffix:
Gender:F
Credentials:MS CCC-SLP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11 CHESTNUT ST STE 7
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3724
Mailing Address - Country:US
Mailing Address - Phone:978-296-4486
Mailing Address - Fax:978-296-4486
Practice Address - Street 1:11 CHESTNUT ST STE 7
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3724
Practice Address - Country:US
Practice Address - Phone:978-296-4486
Practice Address - Fax:978-296-4486
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MASLP100905235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist