Provider Demographics
NPI:1801929484
Name:EMERY, JOAN ALICE (MS, CGC)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:ALICE
Last Name:EMERY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1434 JOSEPHINE ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-1116
Mailing Address - Country:US
Mailing Address - Phone:510-204-5034
Mailing Address - Fax:510-923-9314
Practice Address - Street 1:5730 TELEGRAPH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1710
Practice Address - Country:US
Practice Address - Phone:510-204-5034
Practice Address - Fax:510-923-9314
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS