| Doctor Name: | DR. EMALEE JOYCE WEIDEMANN QUICKEL |
| NPI Number: | 1437381118 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LPA, HSP-PA |
| License Number: | 3804 |
| Business Practice Address: | 120 Coastal Horizons Drive Shallotte, NC - 28470 |
| Business Phone Number: | 9107544515 |
| Business Fax Number: | |
| Mailing Address: | 615 Shipyard Blvd, WILMINGTON |
| State: | NC |
| Postal Code: | 284126431 |
| Phone Number: | 9103430145 |
| Fax Number: | 9107900187 |
| NPI Enumeration Date: | 08/14/2009 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3804 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |