Provider Demographics
NPI:1033686480
Name:PRICE, EMILY RISCHALL (PSYD, LP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:RISCHALL
Last Name:PRICE
Suffix:
Gender:F
Credentials:PSYD, LP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:RISCHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD, LP
Mailing Address - Street 1:410 CHURCH ST SE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0222
Mailing Address - Country:US
Mailing Address - Phone:612-624-1444
Mailing Address - Fax:612-625-1434
Practice Address - Street 1:410 CHURCH ST SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0222
Practice Address - Country:US
Practice Address - Phone:612-624-1444
Practice Address - Fax:612-625-1434
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP6312103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist