Healthcare Provider Details

I. General information

NPI: 1588580930
Provider Name (Legal Business Name): EMILY PARKER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2216 S KANAWHA ST
BECKLEY WV
25801-6720
US

IV. Provider business mailing address

2216 S KANAWHA ST
BECKLEY WV
25801-6720
US

V. Phone/Fax

Practice location:
  • Phone: 304-255-6310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-0467
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: