Healthcare Provider Details

I. General information

NPI: 1942153614
Provider Name (Legal Business Name): EMILY O'CONNOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2161 GRANDIN RD
CINCINNATI OH
45208-3359
US

IV. Provider business mailing address

6558 MALLARD CT
MASON OH
45040-9740
US

V. Phone/Fax

Practice location:
  • Phone: 513-417-5825
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: