Individual
DR. EMILIE ROSS RAPHAEL
Active
Individual
DR. EMILIE ROSS RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
420707-01
MD
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PP2335
NC
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11336532
CAQH NUMBER
NC
01
—
35090
NATIONAL REGISTER NUMBER
MD
01
—
PP2335
LICENSE NUMBER
NC
Enumeration date
05/16/2007
Last updated
11/18/2007
Update your record
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