Provider Demographics
NPI:1770525610
Name:EMERLING, KATHLEEN ANN (MC,LPC)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:ANN
Last Name:EMERLING
Suffix:
Gender:F
Credentials:MC,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 E HAPPY VALLEY RD
Mailing Address - Street 2:LOT 97
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-8171
Mailing Address - Country:US
Mailing Address - Phone:480-419-9793
Mailing Address - Fax:480-513-1131
Practice Address - Street 1:11000 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 163
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6130
Practice Address - Country:US
Practice Address - Phone:480-922-5440
Practice Address - Fax:480-922-5445
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10565101YM0800X
AZLPC-10665101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health