Individual
DR. STEPHEN WAYNE EMERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9863 ARN DR, CENTERVILLE, OH 45458-4144
(937) 271-9560
(937) 439-3747
Mailing address
9863 ARN DR, CENTERVILLE, OH 45458-4144
(937) 271-9560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4189
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0738027
—
OH
05
—
1184608523
—
OH
Enumeration date
11/30/2005
Last updated
06/26/2024
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