Provider Demographics
NPI:1215408091
Name:NOE, EMILY LITZ (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:LITZ
Last Name:NOE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 134
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37815-0134
Mailing Address - Country:US
Mailing Address - Phone:423-312-5442
Mailing Address - Fax:
Practice Address - Street 1:6890 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:TALBOTT
Practice Address - State:TN
Practice Address - Zip Code:37877-8610
Practice Address - Country:US
Practice Address - Phone:423-312-5442
Practice Address - Fax:423-839-1809
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001731235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist