MEDICARE: EMILY MARIE SHEEHAN MT-BC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC009931	PA

General Provider Information

NPI Number	:	1639644743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MARIE SHEEHAN MT-BC, LPC

Provider Business Mailing Address
First Line	:	207 GLENSIDE AVE # 171
Second Line	:
City	:	WYNCOTE
State	:	PA
Zip	:	19095-1512
Country	:	US
Telephone Number	:	484-483-6503
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 GLENSIDE AVE # 171
Second Line	:
City	:	WYNCOTE
State	:	PA
Zip	:	19095-1512
Country	:	US
Telephone Number	:	484-483-6503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2018
Last Update Date	:	10/27/2025

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