Healthcare Provider Details

I. General information

NPI: 1124249727
Provider Name (Legal Business Name): EMILY KAY WERLEIN M.ED., L.P.C.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 FAR HILLS AVE. SUITE 304
DAYTON OH
45419
US

IV. Provider business mailing address

533 VOLUSIA AVE.
DAYTON OH
45409
US

V. Phone/Fax

Practice location:
  • Phone: 937-361-3998
  • Fax:
Mailing address:
  • Phone: 937-361-3998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE4303
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: