Individual
JILL ANN EMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
11177 WEST 8TH AVENUE, LAKEWOOD, CO 80215-5520
(303) 462-6509
Mailing address
11177 WEST 8TH AVENUE, LAKEWOOD, CO 80215-5520
(303) 462-6509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000779
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29577039
—
CO
01
—
649046
ANTHEM
CO
Enumeration date
05/07/2007
Last updated
03/17/2018
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