Healthcare Provider Details

I. General information

NPI: 1912810185
Provider Name (Legal Business Name): EMILY MILLER SAMLALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 MAIN ST STE 123
WESTFIELD MA
01085-3121
US

IV. Provider business mailing address

28 MAIN ST STE 123
WESTFIELD MA
01085-3121
US

V. Phone/Fax

Practice location:
  • Phone: 413-244-0013
  • Fax:
Mailing address:
  • Phone: 413-244-0013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14471617
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: