Healthcare Provider Details

I. General information

NPI: 1467100511
Provider Name (Legal Business Name): EMILY BRITSCH PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY ROEMER

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 COLBY AVE STE 105
EVERETT WA
98201-4795
US

IV. Provider business mailing address

3501 COLBY AVE STE 105
EVERETT WA
98201-4795
US

V. Phone/Fax

Practice location:
  • Phone: 425-789-1073
  • Fax:
Mailing address:
  • Phone: 425-789-1073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSYC.PY.61491965
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: