Provider Demographics
NPI:1609764067
Name:ANNABLE, EMMA JANE (LCAT-P)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:JANE
Last Name:ANNABLE
Suffix:
Gender:F
Credentials:LCAT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1169 PITTSFORD VICTOR RD
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-3809
Mailing Address - Country:US
Mailing Address - Phone:585-430-9877
Mailing Address - Fax:
Practice Address - Street 1:1169 PITTSFORD VICTOR RD
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3809
Practice Address - Country:US
Practice Address - Phone:585-430-9877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist