MEDICARE: EMMA TAFFE MA CCC-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	2014272	OH
2	235Z00000X	Speech-Language Pathologist	11780	OH

General Provider Information

NPI Number	:	1780083006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA TAFFE MA CCC-SLP

Provider Business Mailing Address
First Line	:	481 ROSLYN AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13029 N PALMYRA RD
Second Line	:
City	:	NORTH JACKSON
State	:	OH
Zip	:	44451-8707
Country	:	US
Telephone Number	:	330-538-2654
Fax Number	:

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

Provider Enumeration Date	:	08/22/2014
Last Update Date	:	05/15/2017

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Directions to “ EMMA TAFFE MA CCC-SLP” Practice Location

Language	Start Address	Practice Location

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