Provider Demographics
NPI:1821821463
Name:KIRSCHNER, EMMA (PSYD)
Entity type:Individual
Prefix:DR
First Name:EMMA
Middle Name:
Last Name:KIRSCHNER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CAMERON RD
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-3303
Mailing Address - Country:US
Mailing Address - Phone:917-378-4138
Mailing Address - Fax:
Practice Address - Street 1:522 S BROAD ST
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-1325
Practice Address - Country:US
Practice Address - Phone:646-504-7728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP125569103T00000X
NJ233057103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist