MEDICARE: EMILY DYE M.S., CF-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	114060	TX

General Provider Information

NPI Number	:	1407337371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY DYE M.S., CF-SLP

Provider Business Mailing Address
First Line	:	5202 LEHIGH ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79416-2341
Country	:	US
Telephone Number	:	432-638-3226
Fax Number	:

Provider Business Practice Location Address
First Line	:	803 S ALAMO RD
Second Line	:
City	:	LEVELLAND
State	:	TX
Zip	:	79336-5149
Country	:	US
Telephone Number	:	806-894-2806
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	08/28/2018

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Directions to “ EMILY DYE M.S., CF-SLP” Practice Location

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