Provider Demographics
NPI:1558621714
Name:VINCENT, EMILY MARGARET KERLIN (MED, LPC, CT)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:MARGARET KERLIN
Last Name:VINCENT
Suffix:
Gender:F
Credentials:MED, LPC, CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 STORMFIELD DR
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2386
Mailing Address - Country:US
Mailing Address - Phone:215-513-7323
Mailing Address - Fax:
Practice Address - Street 1:296 STORMFIELD DR
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2386
Practice Address - Country:US
Practice Address - Phone:215-513-7323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004727101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional