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NPI Code Detail

MEDICARE: EMILY SELBY MA,CCC-SLP

MEDICARE: EMILY SELBY 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
1235Z00000XSpeech-Language PathologistSP.04479OH

General Provider Information

NPI Number : 1801488978
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY SELBY MA,CCC-SLP
Provider Business Mailing Address
First Line : 4590 KNIGHTSBRIDGE BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-4327
Country : US
Telephone Number : 614-453-9856
Fax Number :
Provider Business Practice Location Address
First Line : 4590 KNIGHTSBRIDGE BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-4327
Country : US
Telephone Number : 614-453-9856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2021
Last Update Date : 02/09/2021

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Directions to “ EMILY SELBY MA,CCC-SLP” Practice Location

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