Healthcare Provider Details

I. General information

NPI: 1780083006
Provider Name (Legal Business Name): EMMA TAFFE MA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2014
Last Update Date: 05/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13029 N PALMYRA RD
NORTH JACKSON OH
44451-8707
US

IV. Provider business mailing address

481 ROSLYN AVE
AKRON OH
44320
US

V. Phone/Fax

Practice location:
  • Phone: 330-538-2654
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2014272
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number11780
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: