Healthcare Provider Details

I. General information

NPI: 1952232092
Provider Name (Legal Business Name): EMILY ULA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 VINE ST
PASO ROBLES CA
93446-2131
US

IV. Provider business mailing address

255 CONOVER LN
TEMPLETON CA
93465-9065
US

V. Phone/Fax

Practice location:
  • Phone: 805-769-1841
  • Fax:
Mailing address:
  • Phone: 805-610-1219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number39067
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: