Provider Demographics
NPI:1750010559
Name:MCCARY, EMILY (AMFT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MCCARY
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:MCCARY PRICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AMFT
Mailing Address - Street 1:1199 MADIA ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-1961
Mailing Address - Country:US
Mailing Address - Phone:310-261-3666
Mailing Address - Fax:
Practice Address - Street 1:1199 MADIA ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-1961
Practice Address - Country:US
Practice Address - Phone:310-261-3666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT122435106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist