Healthcare Provider Details

I. General information

NPI: 1699477554
Provider Name (Legal Business Name): EMILY ANNE PAUL SLP-CFY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY ANNE BRADY

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 APPLEGROVE ST NE
NORTH CANTON OH
44720-1610
US

IV. Provider business mailing address

2491 10TH ST
CUYAHOGA FALLS OH
44221-2467
US

V. Phone/Fax

Practice location:
  • Phone: 234-718-1743
  • Fax:
Mailing address:
  • Phone: 234-718-1743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberAPP-000661344
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: