Healthcare Provider Details

I. General information

NPI: 1861311276
Provider Name (Legal Business Name): EMILY TRACHTMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 WAYNE MEMORIAL DR STE C
GOLDSBORO NC
27534-2202
US

IV. Provider business mailing address

522 W NEW HOPE RD APT A5
GOLDSBORO NC
27534-7590
US

V. Phone/Fax

Practice location:
  • Phone: 910-298-2331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30005408
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: