Provider Demographics
NPI:1942238795
Name:ASKIN, EMILY RUSSELL (PHD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:RUSSELL
Last Name:ASKIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 WALNUT ST
Mailing Address - Street 2:SUITE 1103
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-3419
Mailing Address - Country:US
Mailing Address - Phone:202-253-9570
Mailing Address - Fax:215-985-0220
Practice Address - Street 1:1518 WALNUT ST
Practice Address - Street 2:SUITE 1103
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3419
Practice Address - Country:US
Practice Address - Phone:215-587-3122
Practice Address - Fax:215-985-0220
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATPS029939103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101690349Medicaid
PA106772XS1Medicare PIN
Q37249Medicare UPIN
PAB016525N5Medicare ID - Type Unspecified
PA016525Medicare PIN