Healthcare Provider Details

I. General information

NPI: 1154584431
Provider Name (Legal Business Name): ALAINA LISA EMERY AYERS-GREENIDGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMERY AYERS-GREENIDGE PSY.D.

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 ROLAND AVE STE 301
BALTIMORE MD
21210-2347
US

IV. Provider business mailing address

4800 ROLAND AVE STE 301
BALTIMORE MD
21210-2347
US

V. Phone/Fax

Practice location:
  • Phone: 401-873-7357
  • Fax:
Mailing address:
  • Phone: 410-873-7357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number06210
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: