Provider Demographics
NPI:1275877557
Name:BEMPAH, EMMANUEL ANAMAN (HOME HEALTH AID)
Entity Type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:ANAMAN
Last Name:BEMPAH
Suffix:
Gender:M
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:EMMANUEL
Other - Middle Name:ANAMAN
Other - Last Name:BEMPAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:631 SHERIDAN ST APT 32
Mailing Address - Street 2:N/A
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3225
Mailing Address - Country:US
Mailing Address - Phone:301-768-0636
Mailing Address - Fax:
Practice Address - Street 1:1680 31ST ST NW
Practice Address - Street 2:N/A
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2924
Practice Address - Country:US
Practice Address - Phone:202-251-0962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2012-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN62612103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst