Individual
EMMA HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1738 E HAYES AVE, HAZEL PARK, MI 48030-2625
(512) 608-2928
Mailing address
1738 E HAYES AVE, HAZEL PARK, MI 48030-2625
(512) 608-2928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
112729
TX
235Z00000X
Speech-Language Pathologist
Primary
7101006145
MI
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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