Provider Demographics
NPI:1316151228
Name:WERNER, EMILY BROWN (PHD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:BROWN
Last Name:WERNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 ROLLING RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-7696
Mailing Address - Country:US
Mailing Address - Phone:814-235-1100
Mailing Address - Fax:814-235-1101
Practice Address - Street 1:454 ROLLING RIDGE DR
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7696
Practice Address - Country:US
Practice Address - Phone:814-235-1100
Practice Address - Fax:814-235-1101
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016034103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent