Doctor Name: | EMILY ANNE MESSIGIAN |
NPI Number: | 1720363146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 125 Sacramento St. Rio Vista, CA - 94571 |
Business Phone Number: | 7073745243 |
Business Fax Number: | |
Mailing Address: | 17039 Knapp St., NORTHRIDGE |
State: | CA |
Postal Code: | 91325 |
Phone Number: | 8183074692 |
Fax Number: | 8187751426 |
NPI Enumeration Date: | 10/17/2011 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |