Healthcare Provider Details
I. General information
NPI: 1114804150
Provider Name (Legal Business Name): EMILY HURLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
801 W 18TH ST
WILMINGTON DE
19802-3852
US
IV. Provider business mailing address
514 CENTER ST
KENNETT SQUARE PA
19348-3250
US
V. Phone/Fax
- Phone: 302-651-2740
- Fax:
- Phone: 610-304-7047
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | O1-0012458 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: