Provider Demographics
NPI:1437381118
Name:QUICKEL, EMALEE JOYCE WEIDEMANN (PHD, LPA, HSP-PA)
Entity Type:Individual
Prefix:DR
First Name:EMALEE
Middle Name:JOYCE WEIDEMANN
Last Name:QUICKEL
Suffix:
Gender:F
Credentials:PHD, LPA, HSP-PA
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:JOYCE
Other - Last Name:WEIDEMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPA, HSP-PA
Mailing Address - Street 1:9649 BELAIR RD
Mailing Address - Street 2:STE 104
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-1117
Mailing Address - Country:US
Mailing Address - Phone:410-529-1309
Mailing Address - Fax:410-529-1005
Practice Address - Street 1:9649 BELAIR RD STE 104
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-1117
Practice Address - Country:US
Practice Address - Phone:410-529-1309
Practice Address - Fax:410-529-1005
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05874103T00000X
NC3804103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical