Individual
DR. MICHELLE A EMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1332 TEASLEY LN, STE 177, DENTON, TX 76205-7946
(940) 591-9550
(940) 591-9555
Mailing address
PO BOX 2852, DENTON, TX 76202-2852
(940) 591-9550
(940) 591-9555
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
30727
TX
103TC0700X
Clinical Psychologist
30727
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040685202
—
TX
Enumeration date
10/25/2006
Last updated
08/03/2020
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