Provider Demographics
NPI:1780947333
Name:EMENS, REBECCA ANNE BOX (PHD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANNE BOX
Last Name:EMENS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:ANNE BOX
Other - Last Name:EMENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:205 S SEMINARY ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5665
Mailing Address - Country:US
Mailing Address - Phone:256-740-8283
Mailing Address - Fax:
Practice Address - Street 1:205 S SEMINARY ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5665
Practice Address - Country:US
Practice Address - Phone:256-740-8283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1750103T00000X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool