| Julie Emmer Llc | |
|
2700 Westhall Ln Ste 110 Maitland FL 32751-7403 | |
| (407) 475-1025 | |
| (407) 475-1027 |
| Full Name | Julie Emmer Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2700 Westhall Ln Ste 110, Maitland, Florida |
| Authorized Official Name and Position | Julie Emmer (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4074751025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Emmer Llc 2700 Westhall Ln Ste 110 Maitland FL 32751-7403 Ph: (407) 475-1025 | Julie Emmer Llc 2700 Westhall Ln Ste 110 Maitland FL 32751-7403 Ph: (407) 475-1025 |
| NPI Number | 1629588397 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 10/06/2017 |
| Medicare PECOS PAC ID | 2860759305 |
|---|---|
| Medicare Enrollment ID | O20171208000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629588397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Julie Carmel Emmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902945264 PECOS PAC ID: 3779840210 Enrollment ID: I20171208000220 |
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