Provider Demographics
NPI:1639954928
Name:EMPATHIC PATHWAYS PSYCHOLOGY INC.
Entity Type:Organization
Organization Name:EMPATHIC PATHWAYS PSYCHOLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAILA
Authorized Official - Middle Name:ELISA
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:619-602-3464
Mailing Address - Street 1:1399 REAL WAY LN
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:CA
Mailing Address - Zip Code:91901-3016
Mailing Address - Country:US
Mailing Address - Phone:619-602-3464
Mailing Address - Fax:
Practice Address - Street 1:1399 REAL WAY LN
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901-3016
Practice Address - Country:US
Practice Address - Phone:619-602-3464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty