Provider Demographics
NPI:1689029274
Name:EMONET PSYCHOLOGY
Entity Type:Organization
Organization Name:EMONET PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:EMONET
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:504-408-1630
Mailing Address - Street 1:315 METAIRIE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-4337
Mailing Address - Country:US
Mailing Address - Phone:504-408-1630
Mailing Address - Fax:
Practice Address - Street 1:315 METAIRIE RD STE 201
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4337
Practice Address - Country:US
Practice Address - Phone:504-408-1630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1162103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty