Healthcare Provider Details

I. General information

NPI: 1013109024
Provider Name (Legal Business Name): EMILY M WHITT PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 STONEGATE TRL STE 112
VESTAVIA HLS AL
35242-2249
US

IV. Provider business mailing address

2016 STONEGATE TRL STE 112
VESTAVIA HLS AL
35242-2249
US

V. Phone/Fax

Practice location:
  • Phone: 205-440-6292
  • Fax: 205-313-3177
Mailing address:
  • Phone: 205-440-6292
  • Fax: 205-313-3177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1450
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number1450
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number1450
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number1450
License Number StateAL
# 5
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1450
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number1450
License Number StateAL
# 7
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1450
License Number StateAL
# 8
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1450
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: