EMILY MAYBELLE-WILSON DOUGLAS (NPI# 1487158010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487158010 |
| Entity Type | Individual |
| Full Name | EMILY MAYBELLE-WILSON DOUGLAS |
| Other Name | EMILY MAYBELLE WILSON |
| Practice Address |
1001 Laurence Ave Ste E Jackson MI 49202-2980 |
| Mailing Address |
120 N Maple St Fowlerville MI 48836-9502 |
| Practice Telephone | 5177504777 |
| Practice Fax Number | 5177824717 |
| Mailing Telephone | 6618085083 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7101005499 | MI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568975746 | Emily Barton Douglas | Physician Assistant | 27 Doctors Dr, Hendersonville, NC 28792-7209 | 2017-11-10 |
| 1609306836 | Emily Douglas | Speech-Language Pathologist | 4870 Haygood Rd, Virginia Beach, VA 23455-5300 | 2017-06-20 |
| 1174941355 | Emily Hughes Douglas | Internal Medicine | Medical Center Boulevard, Winston Salem, NC 27157-0816 | 2014-04-03 |
| Street Address |
1001 LAURENCE AVE STE E |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790056265 | Rachel Ashley Flynn | Speech-Language Pathologist | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2012-01-15 |
| 1164023651 | Travis Baker | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-11-03 |
| 1124627377 | Evan Michael Dailey | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-10-20 |
| 1538773486 | Scott Thorbjornsen | Speech-Language Pathologist | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-09-08 |
| 1982218475 | Jessica Lynn Barlow | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-09-02 |
| 1134732662 | Josephine Elle Simmons | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-08-25 |
| 1386263556 | Lauren Elizabeth Gravelyn | Speech-Language Pathologist | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-04-08 |
| 1235764960 | Marissa Swanson | Speech-Language Pathologist | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-03-03 |
| 1952932238 | Katie Elizabeth Bednark | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-01-27 |
| 1922638675 | Ryan Heckaman | Technician, Other | 1001 Laurence Ave Ste E, Jackson, MI 49202-2980 | 2020-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359295 | Chloe Chow | Speech-Language Pathologist | 21 Okeena Dr, Jackson, TN 38305-8819 | 2020-09-08 |
| 1801400874 | Shalvah T Dworkin | Speech-Language Pathologist | 13 Linda Dr, Jackson, NJ 08527-5025 | 2020-09-07 |
| 1710523030 | Focused Speech and Language Development LLC | Speech-Language Pathologist | 26 Illinois Ave, Jackson, NJ 08527-2153 | 2019-11-21 |
| 1992356158 | Emily Mangum | Speech-Language Pathologist | 2046 Meadowbrook Rd, Jackson, MS 39211-6527 | 2019-09-27 |
| 1497305536 | Karen Coveart | Speech-Language Pathologist | 4030 Gatewood Dr, Jackson, MI 49203-5461 | 2019-09-19 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1699337691 | Foster Their Voice, LLC | Speech-Language Pathologist | 1027 Shady Ln, Jackson, MO 63755-2649 | 2019-07-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1801450531 | Stephanie M Tripp | Speech-Language Pathologist | 407 S Wisner St, Jackson, MI 49203-1573 | 2019-04-29 |
| 1114483674 | Sarah Beatrice Robinson | Speech-Language Pathologist | 200 Hampton Woods Road, Jackson, NC 27845 | 2019-02-20 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.