Healthcare Provider Details
I. General information
NPI: 1831872373
Provider Name (Legal Business Name): EMMA CAROLINE DAAS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/10/2023
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1540 E ARLINGTON BLVD
GREENVILLE NC
27858-5870
US
IV. Provider business mailing address
1540 E ARLINGTON BLVD
GREENVILLE NC
27858-5870
US
V. Phone/Fax
- Phone: 252-364-2854
- Fax:
- Phone: 252-364-2854
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 30002896 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: