Provider Demographics
NPI:1871643197
Name:EMMONS-APT, ELEANOR BRADLEE (MSW)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:BRADLEE
Last Name:EMMONS-APT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:EBE
Other - Middle Name:
Other - Last Name:EMMONS-APT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:4 SHADY COURT DRIVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1523
Mailing Address - Country:US
Mailing Address - Phone:412-661-4672
Mailing Address - Fax:412-661-4683
Practice Address - Street 1:1900 MURRAY AVE STE 205
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1657
Practice Address - Country:US
Practice Address - Phone:412-661-5569
Practice Address - Fax:412-661-4683
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0154381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical