Healthcare Provider Details

I. General information

NPI: 1932630738
Provider Name (Legal Business Name): EMILY SHEEHAN AND ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 GLENSIDE AVE # 171
WYNCOTE PA
19095-1512
US

IV. Provider business mailing address

207 GLENSIDE AVE # 171
WYNCOTE PA
19095-1512
US

V. Phone/Fax

Practice location:
  • Phone: 610-999-4117
  • Fax:
Mailing address:
  • Phone: 215-372-7956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: EMILY MARIE SHEEHAN
Title or Position: MEMBER
Credential: LPC
Phone: 484-483-6503