Provider Demographics
NPI:1760136691
Name:NEUBURGER, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:NEUBURGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 S PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-5203
Mailing Address - Country:US
Mailing Address - Phone:978-460-0214
Mailing Address - Fax:
Practice Address - Street 1:409 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2300
Practice Address - Country:US
Practice Address - Phone:413-203-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health