Provider Demographics
NPI:1295522308
Name:CANALE, EMILY (MA, LAPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:CANALE
Suffix:
Gender:
Credentials:MA, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 LAURISTON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-5105
Mailing Address - Country:US
Mailing Address - Phone:610-761-8221
Mailing Address - Fax:
Practice Address - Street 1:406 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1622
Practice Address - Country:US
Practice Address - Phone:610-761-8221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC001197101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor