Basic Information
| Provider Information | |||||||||
| NPI: | 1033549464 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHRISTENSEN | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | LYNN-OTTO | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.A., CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 138 WEST HIGHLAND RD | ||||||||
| Address2: | SUITE 500-600 | ||||||||
| City: | HOWELL | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48843 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173764831 | ||||||||
| FaxNumber: | 5173764833 | ||||||||
| Practice Location | |||||||||
| Address1: | 138 W HIGHLAND RD STE 500-600 | ||||||||
| Address2: | |||||||||
| City: | HOWELL | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488432170 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173764831 | ||||||||
| FaxNumber: | 5173764833 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2013 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 7101000367 | MI | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.