Individual
DR. ELLEN N EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
112 N COLLEGE ST, STATESBORO, GA 30458-5309
(912) 687-5194
(912) 681-0834
Mailing address
112N COLLEGE ST, STATESBORO, GA 30458-5309
(912) 764-3595
(912) 764-3595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002041
GA
106H00000X
Marriage & Family Therapist
MFT 0374
NV
Other
Enumeration date
09/14/2006
Last updated
09/01/2015
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