Healthcare Provider Details

I. General information

NPI: 1265101950
Provider Name (Legal Business Name): EMILY YIP LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 POST RD E FL 2
WESTPORT CT
06880-3615
US

IV. Provider business mailing address

34 HIGH ST APT 2
NORWALK CT
06851-4748
US

V. Phone/Fax

Practice location:
  • Phone: 203-820-5171
  • Fax:
Mailing address:
  • Phone: 203-820-5171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2692
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: