Provider Demographics
NPI:1235967605
Name:LEDWITH, EMMA JEAN
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:JEAN
Last Name:LEDWITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 BEECH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5768
Mailing Address - Country:US
Mailing Address - Phone:603-209-8255
Mailing Address - Fax:
Practice Address - Street 1:40 BEECH ST APT 1
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5768
Practice Address - Country:US
Practice Address - Phone:603-209-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst