Provider Demographics
NPI:1699669978
Name:EMMERTH, EMILY PAULINE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:PAULINE
Last Name:EMMERTH
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 RICHARD HARRISON WAY
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-1136
Mailing Address - Country:US
Mailing Address - Phone:304-780-1607
Mailing Address - Fax:
Practice Address - Street 1:300 MILLER RD
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:WV
Practice Address - Zip Code:26537-1335
Practice Address - Country:US
Practice Address - Phone:304-329-3195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2620235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist