MEDICARE: DR. EMILY DINATALE PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	4861	NC

General Provider Information

NPI Number	:	1306218466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY DINATALE PH.D.

Provider Business Mailing Address
First Line	:	614 3RD ST
Second Line	:
City	:	STEILACOOM
State	:	WA
Zip	:	98388-1712
Country	:	US
Telephone Number	:	919-721-6696
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 3RD ST
Second Line	:
City	:	STEILACOOM
State	:	WA
Zip	:	98388-1712
Country	:	US
Telephone Number	:	919-721-6696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2015
Last Update Date	:	02/05/2026

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