Basic Information
Provider Information
NPI: 1821761826
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAILEY
FirstName: EMMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2418 OLD CONOVER STARTOWN RD
Address2:  
City: NEWTON
State: NC
PostalCode: 286588504
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 304 10TH AVE NE
Address2:  
City: HICKORY
State: NC
PostalCode: 286013883
CountryCode: US
TelephoneNumber: 8283222183
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2021
LastUpdateDate: 07/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X14693NCY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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