Provider Demographics
NPI:1790126936
Name:RINGLE, EMILY ROSE (MA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ROSE
Last Name:RINGLE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11001 W 120TH AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3493
Mailing Address - Country:US
Mailing Address - Phone:720-372-3680
Mailing Address - Fax:720-269-8206
Practice Address - Street 1:11001 W 120TH AVE STE 400
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-3493
Practice Address - Country:US
Practice Address - Phone:303-617-2300
Practice Address - Fax:720-269-8206
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0104426101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health