Individual
MRS. EMILY ELIZABETH DIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4210 TELEGRAPH LN, VERMILION, OH 44089-3748
(440) 967-1800
Mailing address
4210 TELEGRAPH LN, VERMILION, OH 44089-3748
(440) 967-1800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12514
OH
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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