| Ronni F Emden Llc | |
|
10630 Little Patuxent Pkwy Ste 307 Columbia MD 21044-6211 | |
| (443) 629-5559 | |
| Not Available |
| Full Name | Ronni F Emden Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10630 Little Patuxent Pkwy Ste 307, Columbia, Maryland |
| Authorized Official Name and Position | Ronni F Emden (PROVIDER/OWNER) |
| Authorized Official Contact | 4436295559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronni F Emden Llc 10630 Little Patuxent Pkwy Ste 307 Columbia MD 21044-6211 Ph: (443) 629-5559 | Ronni F Emden Llc 10630 Little Patuxent Pkwy Ste 307 Columbia MD 21044-6211 Ph: (443) 629-5559 |
| NPI Number | 1881412039 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Medicare PECOS PAC ID | 1052844958 |
|---|---|
| Medicare Enrollment ID | O20241030004302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881412039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ronni F Emden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467589119 PECOS PAC ID: 5092865006 Enrollment ID: I20241030004373 |
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