Provider Demographics
NPI:1386705770
Name:RIEMER, EMILY R (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:R
Last Name:RIEMER
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 AZALEA DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-8114
Mailing Address - Country:US
Mailing Address - Phone:662-236-6696
Mailing Address - Fax:662-236-9146
Practice Address - Street 1:510 AZALEA DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-8114
Practice Address - Country:US
Practice Address - Phone:662-236-6696
Practice Address - Fax:662-236-9146
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1177101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health