Provider Demographics
NPI:1306326335
Name:LOUISE, EMMA (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:LOUISE
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:239 FOUNDERS RDG
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-5516
Mailing Address - Country:US
Mailing Address - Phone:630-408-1152
Mailing Address - Fax:
Practice Address - Street 1:1505 W HIGHWAY 290
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-3402
Practice Address - Country:US
Practice Address - Phone:630-408-1152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111248235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist