Healthcare Provider Details

I. General information

NPI: 1891612685
Provider Name (Legal Business Name): EMILY DANIELLE DUKE PBS, SLP-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 W CAMELBACK RD STE 450
PHOENIX AZ
85015-3474
US

IV. Provider business mailing address

1555 S GILBERT RD STE 109
MESA AZ
85204-6000
US

V. Phone/Fax

Practice location:
  • Phone: 602-601-2401
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: