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Individual

DR. EMMA COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, ABPP, NCSP

Contact information

Practice address
1750 E FAIRMOUNT AVE, BALTIMORE, MD 21231-1534
(443) 923-4564
(443) 923-4525
Mailing address
2801 EASTERN AVE, BALTIMORE, MD 21224-3811
(301) 520-7692

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY60327555
WA
103TS0200X
School Psychologist
494216E
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42794
NATIONALLY CERTIFIED SCHOOL PSYCHOLOGIST
01
494216E
RESIDENCY PSYCHOLOGIST EDUCATIONAL STAFF ASSOCIATE
WA
01
8972
AMERICAN BOARD OF PROFESSIONAL PSYCHOLOFY
01
PY60327555
PSYCHOLOGIST LICENSE
WA
Enumeration date
07/03/2016
Last updated
09/20/2022
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