Provider Demographics
NPI:1932488459
Name:EMERSON, MARLA JEAN
Entity Type:Individual
Prefix:MS
First Name:MARLA
Middle Name:JEAN
Last Name:EMERSON
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 1:3445 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-3106
Mailing Address - Country:US
Mailing Address - Phone:775-787-1856
Mailing Address - Fax:775-322-4460
Practice Address - Street 1:3445 W 7TH ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-3106
Practice Address - Country:US
Practice Address - Phone:775-787-1856
Practice Address - Fax:775-322-4460
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor