Provider Demographics
NPI:1467913988
Name:NAYAR, EMILY (LICSWA)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:NAYAR
Suffix:
Gender:F
Credentials:LICSWA
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:GRINNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1321 W. BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201
Mailing Address - Country:US
Mailing Address - Phone:509-473-4824
Mailing Address - Fax:509-473-4840
Practice Address - Street 1:1321 W. BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201
Practice Address - Country:US
Practice Address - Phone:509-473-4824
Practice Address - Fax:509-473-4840
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WASC60836710101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor