Provider Demographics
NPI:1689846891
Name:FORRO, EMILY BINGHAM (MED)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:BINGHAM
Last Name:FORRO
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:ANNE
Other - Last Name:BINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2500 EDUCATIONAL DRIVE
Mailing Address - Street 2:TRENT PARK ELEMENTARY SCHOOL
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-4400
Mailing Address - Country:US
Mailing Address - Phone:252-514-6481
Mailing Address - Fax:252-514-6485
Practice Address - Street 1:2500 EDUCATIONAL DRIVE
Practice Address - Street 2:TRENT PARK ELEMENTARY SCHOOL
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-4400
Practice Address - Country:US
Practice Address - Phone:252-514-6481
Practice Address - Fax:252-514-6485
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health