Individual
EMILY RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
630 E CHESTNUT HILL RD, NEWARK, DE 19713-1828
(302) 454-2301
Mailing address
3 CHRISTOPHER LN, GLASSBORO, NJ 08028-2827
(856) 404-1286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
O10012149
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ERANDOLPH16
—
DE
Enumeration date
11/02/2022
Last updated
11/02/2022
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