Basic Information
Provider Information
NPI: 1093768178
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PRESCOTT
FirstName: EMORY
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential:  
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OtherLastName:  
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Mailing Information
Address1: 4121 LITTLE SAVANNAH RD
Address2: RM 132
City: CULLOWHEE
State: NC
PostalCode: 28723
CountryCode: US
TelephoneNumber: 8282277251
FaxNumber: 8285868209
Practice Location
Address1: 4121 LITTLE SAVANNAH RD
Address2: RM 132
City: CULLOWHEE
State: NC
PostalCode: 28723
CountryCode: US
TelephoneNumber: 8282277251
FaxNumber: 8285868209
Other Information
ProviderEnumerationDate: 05/18/2006
LastUpdateDate: 09/25/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X3302NCY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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