Provider Demographics
NPI:1366069296
Name:EMMERKE, CAREY WESTBROOK (AUD)
Entity type:Individual
Prefix:DR
First Name:CAREY
Middle Name:WESTBROOK
Last Name:EMMERKE
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3705 LAKEVIEW PKWY STE 212
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4179
Mailing Address - Country:US
Mailing Address - Phone:945-218-5850
Mailing Address - Fax:945-218-5524
Practice Address - Street 1:3705 LAKEVIEW PKWY STE 212
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4179
Practice Address - Country:US
Practice Address - Phone:945-218-5850
Practice Address - Fax:945-218-5524
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2376231H00000X
TX81585231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist