Provider Demographics
NPI:1043074321
Name:DAUPHINAIS, EMMA L (MS)
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:L
Last Name:DAUPHINAIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 MARK CIR
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:MA
Mailing Address - Zip Code:01520-1410
Mailing Address - Country:US
Mailing Address - Phone:508-340-3465
Mailing Address - Fax:
Practice Address - Street 1:34 MARK CIR
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-1410
Practice Address - Country:US
Practice Address - Phone:508-340-3465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor