Provider Demographics
NPI:1982489662
Name:MOREHOUSE, EMILEE
Entity type:Individual
Prefix:
First Name:EMILEE
Middle Name:
Last Name:MOREHOUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 SCHAFFRAN RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:WA
Mailing Address - Zip Code:98611-9768
Mailing Address - Country:US
Mailing Address - Phone:360-355-0294
Mailing Address - Fax:
Practice Address - Street 1:2210 OLYMPIA WAY
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-4505
Practice Address - Country:US
Practice Address - Phone:360-501-8707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA584963C235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist