Provider Demographics
NPI:1215679089
Name:ROSS, EMILY MARIE (MS)
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:MARIE
Last Name:ROSS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:MARIE
Other - Last Name:ROSS-JUSTICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:311 WILBUR ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210-3326
Mailing Address - Country:US
Mailing Address - Phone:412-266-2305
Mailing Address - Fax:
Practice Address - Street 1:1505 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1701
Practice Address - Country:US
Practice Address - Phone:412-289-2326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health