Provider Demographics
NPI:1386260834
Name:PEISER, EMMA CHANA (SLP)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:CHANA
Last Name:PEISER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 BERKELEY SQ
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2415
Mailing Address - Country:US
Mailing Address - Phone:615-499-8612
Mailing Address - Fax:
Practice Address - Street 1:519 BERKELEY SQ
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2415
Practice Address - Country:US
Practice Address - Phone:615-499-8612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-21
Last Update Date:2020-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist