Provider Demographics
NPI:1568673697
Name:DEER, EMILY L
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:L
Last Name:DEER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CHARLES LEE CIRCLE
Mailing Address - Street 2:LOT #9
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402
Mailing Address - Country:US
Mailing Address - Phone:601-310-4020
Mailing Address - Fax:
Practice Address - Street 1:30 CHARLES LEE CIR
Practice Address - Street 2:LOT #9
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-9072
Practice Address - Country:US
Practice Address - Phone:601-310-4020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor