Provider Demographics
NPI:1316283211
Name:HERBER MCLEAN, EMILY (MA, LPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HERBER MCLEAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41 LEOPARD RD
Practice Address - Street 2:EXECUTIVE GREEN I SUITE 304
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1549
Practice Address - Country:US
Practice Address - Phone:610-642-4873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-20
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA007071101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional