Provider Demographics
NPI:1881005981
Name:MUISE, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MUISE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:576 N BIRDNECK RD
Mailing Address - Street 2:#197
Mailing Address - City:VIRGINIA BCH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6374
Mailing Address - Country:US
Mailing Address - Phone:757-447-1336
Mailing Address - Fax:
Practice Address - Street 1:576 N BIRDNECK RD
Practice Address - Street 2:#197
Practice Address - City:VIRGINIA BCH
Practice Address - State:VA
Practice Address - Zip Code:23451-6374
Practice Address - Country:US
Practice Address - Phone:757-447-1336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst