=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447194659
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY LIMA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2026
-----------------------------------------------------
Last Update Date | 04/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1111 ELM ST STE 17
-----------------------------------------------------
City | WEST SPRINGFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01089-1540
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-342-4027
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 81 ALLISON LN
-----------------------------------------------------
City | LUDLOW
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01056-9201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-348-1922
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2355S0801X
-----------------------------------------------------
Taxonomy Name | Speech-Language Assistant
-----------------------------------------------------
License Number | SPA100150
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------