Provider Demographics
NPI:1093350316
Name:RAY, EMMY LOUISE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:EMMY
Middle Name:LOUISE
Last Name:RAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3712 PRINCE ANDREW LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-3911
Mailing Address - Country:US
Mailing Address - Phone:817-437-5224
Mailing Address - Fax:
Practice Address - Street 1:3712 PRINCE ANDREW LN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-3911
Practice Address - Country:US
Practice Address - Phone:817-437-5224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-11
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical