EMILY MAYBELLE-WILSON DOUGLAS
NPI 1487158010
Speech-Language Pathologist in Jackson, MI

Q: What is Emily Douglas's NPI number?

The NPI number for Emily Douglas is 1487158010. It was assigned to this individual provider in the NPPES registry on March 20, 2018. The provider is also known as Emily Maybelle Wilson.

Q: What is Emily Douglas's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Douglas was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2018

1001 LAURENCE AVE STE E, JACKSON, MI 49202(517) 750-4777(517) 782-4717 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Emily Maybelle-wilson Douglas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY MAYBELLE-WILSON DOUGLAS (NPI 1487158010) is an individual speech-language pathologist provider in Jackson, Michigan, licensed in Michigan (7101005499) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1487158010

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameEMILY MAYBELLE-WILSON DOUGLAS

Location Address1001 LAURENCE AVE STE EJackson, MI 49202-2980

Mailing Address120 N Maple StFowlerville, MI 48836-9502 · (661) 808-5083

Phone(517) 750-4777

Fax(517) 782-4717

Sole ProprietorNo

Enumeration DateMarch 20, 2018

✔ NPI 1487158010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MI · 7101005499

Definition

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.

1001 LAURENCE AVE STE E, Jackson, MI 49202

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Other Names 1

Former Name (1)Emily Maybelle Wilson

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINE ADELE GODDEN

Behavior Technician