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NPI Code Detail

MEDICARE: DR. EMILY BAKER BUDLONG PSY.D.

MEDICARE: DR. EMILY BAKER BUDLONG PSY.D.
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
1103TC0700XClinical Psychologist0810003431VA

General Provider Information

NPI Number : 1861408973
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY BAKER BUDLONG PSY.D.
Provider Business Mailing Address
First Line : 1709 COLLEY AVE
Second Line : SUITE 306
City : NORFOLK
State : VA
Zip : 23517-1675
Country : US
Telephone Number : 757-351-6220
Fax Number : 757-351-6284
Provider Business Practice Location Address
First Line : 1709 COLLEY AVE
Second Line : SUITE 306
City : NORFOLK
State : VA
Zip : 23517-1675
Country : US
Telephone Number : 757-351-6220
Fax Number : 757-351-6284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/16/2007

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