Provider Demographics
NPI:1871726141
Name:BISIGNANO, EMILY REISS
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:REISS
Last Name:BISIGNANO
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 1:13101 PRESTON RD STE 504
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5231
Mailing Address - Country:US
Mailing Address - Phone:469-248-5445
Mailing Address - Fax:
Practice Address - Street 1:13101 PRESTON RD
Practice Address - Street 2:SUITE 504
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5237
Practice Address - Country:US
Practice Address - Phone:469-248-5445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36832103T00000X, 103TC2200X, 103TF0000X, 103TP2701X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy