MEDICARE: MRS. EMILY NICOLE ALBACARYS 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	SP.13948	OH

General Provider Information

NPI Number	:	1780281899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY NICOLE ALBACARYS CCC-SLP

Provider Business Mailing Address
First Line	:	4226 PITTS AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45223-2005
Country	:	US
Telephone Number	:	513-504-2336
Fax Number	:

Provider Business Practice Location Address
First Line	:	1099 OH-131
Second Line	:
City	:	MILFORD
State	:	OH
Zip	:	45150
Country	:	US
Telephone Number	:	513-904-5169
Fax Number	:

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

Provider Enumeration Date	:	10/02/2020
Last Update Date	:	11/27/2023

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Directions to “ MRS. EMILY NICOLE ALBACARYS CCC-SLP” Practice Location

Language	Start Address	Practice Location

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