Provider Demographics
NPI:1275346132
Name:TALLEY, EMILY ALLISE WHITWORTH (CF-SLP, CLC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ALLISE WHITWORTH
Last Name:TALLEY
Suffix:
Gender:F
Credentials:CF-SLP, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 PINE GAP RD
Mailing Address - Street 2:
Mailing Address - City:BLOWING ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28605-9570
Mailing Address - Country:US
Mailing Address - Phone:828-719-1827
Mailing Address - Fax:
Practice Address - Street 1:808 HARPER AVE NW STE 209
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5266
Practice Address - Country:US
Practice Address - Phone:828-394-5084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
357110174N00000X
NC30003652235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN