Provider Demographics
NPI:1114071115
Name:EMBERLEY, MARIBETH ANN (MA, LMHC, CAGS)
Entity Type:Individual
Prefix:MRS
First Name:MARIBETH
Middle Name:ANN
Last Name:EMBERLEY
Suffix:
Gender:F
Credentials:MA, LMHC, CAGS
Other - Prefix:MS
Other - First Name:MARIBETH
Other - Middle Name:ANN
Other - Last Name:CAPPARELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:36 COGSWELL AVE
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1502
Mailing Address - Country:US
Mailing Address - Phone:860-922-6585
Mailing Address - Fax:
Practice Address - Street 1:81 HIGHLAND AVE # 7WEST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2714
Practice Address - Country:US
Practice Address - Phone:860-922-6585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health