Provider Demographics
NPI:1316185952
Name:ROLAND, EMILY MASON (MT-BC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MASON
Last Name:ROLAND
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 DOBSON DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-6205
Mailing Address - Country:US
Mailing Address - Phone:704-451-2435
Mailing Address - Fax:
Practice Address - Street 1:714 DOBSON DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-6205
Practice Address - Country:US
Practice Address - Phone:704-451-2435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist