Healthcare Provider Details

I. General information

NPI: 1568011906
Provider Name (Legal Business Name): EMMA MULLER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2019
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 PROSPECT ST
NASHUA NH
03060
US

IV. Provider business mailing address

100 W PEARL ST
NASHUA NH
03060-3343
US

V. Phone/Fax

Practice location:
  • Phone: 603-889-6147
  • Fax: 603-594-9649
Mailing address:
  • Phone: 603-889-6147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: