Healthcare Provider Details

I. General information

NPI: 1558138404
Provider Name (Legal Business Name): EMILY NICOLE WHITING M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY NICOLE LOUK

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 BERKS WAY STE 203
RALEIGH NC
27614-6777
US

IV. Provider business mailing address

2604 FALLS RIVER AVE
RALEIGH NC
27614-9875
US

V. Phone/Fax

Practice location:
  • Phone: 919-488-4009
  • Fax: 984-272-2849
Mailing address:
  • Phone: 651-239-7881
  • Fax: 984-272-2849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.0006079
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30004396
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: