MEDICARE: MRS. EMILY RENEE HUEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2013024645	MO

General Provider Information

NPI Number	:	1841623881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY RENEE HUEY

Provider Business Mailing Address
First Line	:	1425 S LANDRUM ST
Second Line	:
City	:	MOUNT VERNON
State	:	MO
Zip	:	65712-1912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 S LANDRUM ST
Second Line	:
City	:	MOUNT VERNON
State	:	MO
Zip	:	65712-1912
Country	:	US
Telephone Number	:	417-466-2260
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2013
Last Update Date	:	08/13/2013

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Directions to “ MRS. EMILY RENEE HUEY ” Practice Location

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