Provider Demographics
NPI:1568904241
Name:MAHER, EMILY L (PHD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:L
Last Name:MAHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 THAYER ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-1558
Mailing Address - Country:US
Mailing Address - Phone:401-330-5882
Mailing Address - Fax:401-226-0137
Practice Address - Street 1:382 THAYER ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-1558
Practice Address - Country:US
Practice Address - Phone:401-330-5882
Practice Address - Fax:401-226-0137
Is Sole Proprietor?:No
Enumeration Date:2016-11-10
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS02184103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical