Provider Demographics
NPI:1992130322
Name:PURIFOY, EMMA LEA (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:EMMA
Middle Name:LEA
Last Name:PURIFOY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:LEA
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15911 NACOGDOCHES RD BLDG 1
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-1107
Mailing Address - Country:US
Mailing Address - Phone:210-599-7733
Mailing Address - Fax:210-599-3105
Practice Address - Street 1:15911 NACOGDOCHES RD BLDG 1
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-1107
Practice Address - Country:US
Practice Address - Phone:210-599-7733
Practice Address - Fax:210-599-3105
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist