NPI Code Details Logo

NPI 1285551804

NPI 1285551804 : EMILY JANE MYERS M.S., CCC-SLP : HAMMONTON, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285551804
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    EMILY JANE MYERS M.S., CCC-SLP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/03/2026
-----------------------------------------------------
    Last Update Date     |    07/03/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    400 BELLEVUE AVE 
-----------------------------------------------------
    City                 |    HAMMONTON
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08037-1931
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    609-820-3307
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    400 BELLEVUE AVE 
-----------------------------------------------------
    City                 |    HAMMONTON
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08037-1931
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    609-820-3307
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    41YS0127900
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.