Individual
EMILY D DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 JEFFERSON ST, PAINESVILLE, OH 44077-3114
(440) 392-5598
Mailing address
58 JEFFERSON ST, PAINESVILLE, OH 44077-3114
(440) 392-5598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10553
NC
235Z00000X
Speech-Language Pathologist
Primary
SP11444
OH
Other
Enumeration date
08/13/2013
Last updated
11/06/2014
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