MEDICARE: EMILY CARTAYA

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	9781	OH

General Provider Information

NPI Number	:	1962829473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CARTAYA

Provider Business Mailing Address
First Line	:	23 OAKWOOD STREET
Second Line	:
City	:	LEBANON
State	:	OH
Zip	:	45036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 OAKWOOD AVE
Second Line	:
City	:	LEBANON
State	:	OH
Zip	:	45036-1512
Country	:	US
Telephone Number	:	513-934-5763
Fax Number	:

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

Provider Enumeration Date	:	03/21/2014
Last Update Date	:	03/21/2014

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Directions to “ EMILY CARTAYA ” Practice Location

Language	Start Address	Practice Location

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