Provider Demographics
NPI:1841502341
Name:CARRIG, EMILY JO (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:JO
Last Name:CARRIG
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 1:6220 N HOLE IN THE WALL WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-0926
Mailing Address - Country:US
Mailing Address - Phone:608-769-5868
Mailing Address - Fax:
Practice Address - Street 1:6220 N HOLE IN THE WALL WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-0926
Practice Address - Country:US
Practice Address - Phone:608-769-5868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP6769235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist