Provider Demographics
NPI:1659191013
Name:WEICHMANN, EMMA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:WEICHMANN
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 1:501 NC 54 APT Q4
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2429
Mailing Address - Country:US
Mailing Address - Phone:734-223-2951
Mailing Address - Fax:
Practice Address - Street 1:117 E SALISBURY ST
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-5451
Practice Address - Country:US
Practice Address - Phone:734-223-2951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0183331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical