Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY8612 | FL |
Y | 103T00000X | Psychologist | PY8612 | FL |
NPI | 1003321399 |
---|---|
Provider Name | Emilie Ney |
First Address | Bay Harbor Islands, FL 33154-1567 |
Second Address | Bay Harbor Islands, FL 33154-1567 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2017 |
Last Update Date | 07/12/2017 |