Provider Demographics
NPI:1801169040
Name:HEARD, EMILY (LMFTA)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:HEARD
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:ROSENBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:1535 ELM ST
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-2203
Mailing Address - Country:US
Mailing Address - Phone:831-325-7668
Mailing Address - Fax:925-947-2671
Practice Address - Street 1:1535 ELM ST
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-2203
Practice Address - Country:US
Practice Address - Phone:831-325-7668
Practice Address - Fax:925-947-2671
Is Sole Proprietor?:No
Enumeration Date:2012-02-20
Last Update Date:2021-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
CA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No174400000XOther Service ProvidersSpecialist