Provider Demographics
NPI:1144105669
Name:COMSTOCK, EMILY ELIZABETH (MA SLP-CCC)
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:ELIZABETH
Last Name:COMSTOCK
Suffix:
Gender:F
Credentials:MA SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 WEBSTER ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45042-8132
Mailing Address - Country:US
Mailing Address - Phone:513-846-9736
Mailing Address - Fax:
Practice Address - Street 1:206 WEBSTER ST APT 2A
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042-8132
Practice Address - Country:US
Practice Address - Phone:513-846-9736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124182235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist