| Doctor Name: | DR. EMILY JANE FUTCH |
| NPI Number: | 1003984832 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PY3966 |
| Business Practice Address: | 5046 73rd Ave Ecp, Pa Pinellas Park, FL - 337814350 |
| Business Phone Number: | 7275415436 |
| Business Fax Number: | 7275415484 |
| Mailing Address: | 5046 73rd Ave, Ecp, Pa PINELLAS PARK |
| State: | FL |
| Postal Code: | 337814350 |
| Phone Number: | 7275415436 |
| Fax Number: | 7275415484 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY3966 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |