Provider Demographics
NPI:1346052958
Name:TEETER, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:TEETER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32940 SW KEYS LNDG
Mailing Address - Street 2:
Mailing Address - City:SCAPPOOSE
Mailing Address - State:OR
Mailing Address - Zip Code:97056-2625
Mailing Address - Country:US
Mailing Address - Phone:360-319-5441
Mailing Address - Fax:
Practice Address - Street 1:815 S NEHALEM ST
Practice Address - Street 2:
Practice Address - City:CLATSKANIE
Practice Address - State:OR
Practice Address - Zip Code:97016-2852
Practice Address - Country:US
Practice Address - Phone:360-319-5441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist