Provider Demographics
NPI:1780415802
Name:JONES, EMILY CATHERINE (LGPAT, ATR-P)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:CATHERINE
Last Name:JONES
Suffix:
Gender:F
Credentials:LGPAT, ATR-P
Other - Prefix:
Other - First Name:EM
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LGPAT, ATR-P
Mailing Address - Street 1:11937 THURLOE DR
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-7444
Mailing Address - Country:US
Mailing Address - Phone:443-797-3209
Mailing Address - Fax:
Practice Address - Street 1:6501 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6819
Practice Address - Country:US
Practice Address - Phone:410-938-5342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-10
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDATG323221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist