Provider Demographics
NPI:1275935405
Name:SEMOW, EMILY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:SEMOW
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2086 UNION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4103
Mailing Address - Country:US
Mailing Address - Phone:415-634-5410
Mailing Address - Fax:
Practice Address - Street 1:2086 UNION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4103
Practice Address - Country:US
Practice Address - Phone:415-634-5410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2023-01-02
Deactivation Date:2022-02-18
Deactivation Code:
Reactivation Date:2022-05-13
Provider Licenses
StateLicense IDTaxonomies
CAPSY32115103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical