Provider Demographics
NPI:1699546572
Name:HERSHBERGER, EMILY JANE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JANE
Last Name:HERSHBERGER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5915 NORA PT APT 202
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-3728
Mailing Address - Country:US
Mailing Address - Phone:601-447-1064
Mailing Address - Fax:
Practice Address - Street 1:5915 NORA PT APT 202
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-3728
Practice Address - Country:US
Practice Address - Phone:601-447-1064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist