MEDICARE: MRS. EMILY CARLTON STRICKLAND M.ED.

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

General Provider Information

NPI Number	:	1417137951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY CARLTON STRICKLAND M.ED.

Provider Business Mailing Address
First Line	:	978 BOOGER HILL RD
Second Line	:
City	:	DANIELSVILLE
State	:	GA
Zip	:	30633-6204
Country	:	US
Telephone Number	:	706-795-5252
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 FRANKLIN SPRINGS ST
Second Line	:
City	:	ROYSTON
State	:	GA
Zip	:	30662-3934
Country	:	US
Telephone Number	:	706-245-1822
Fax Number	:	706-245-1854

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

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	11/13/2007

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Directions to “ MRS. EMILY CARLTON STRICKLAND M.ED.” Practice Location

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