Provider Demographics
NPI:1871310656
Name:DEWHIRST, EMMA (PSYD, MBA, BCB)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:DEWHIRST
Suffix:
Gender:F
Credentials:PSYD, MBA, BCB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 N 25TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19121-3845
Mailing Address - Country:US
Mailing Address - Phone:445-242-3832
Mailing Address - Fax:
Practice Address - Street 1:491 ALLENDALE RD STE 201
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1472
Practice Address - Country:US
Practice Address - Phone:610-265-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health