Provider Demographics
NPI:1710284344
Name:MASSEY, EMILY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:MASSEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:CUNDIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:222 COURTHOUSE CT
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-1828
Mailing Address - Country:US
Mailing Address - Phone:410-746-5390
Mailing Address - Fax:
Practice Address - Street 1:222 COURTHOUSE CT
Practice Address - Street 2:SUITE 2D
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-1828
Practice Address - Country:US
Practice Address - Phone:410-746-5390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04866103TA0400X, 103TB0200X, 103TC0700X, 103TF0000X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy