Provider Demographics
NPI:1588444087
Name:ROUTHIER, EMMA (PHD)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:ROUTHIER
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 1:170 W 73RD ST LBBY SUITE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3006
Mailing Address - Country:US
Mailing Address - Phone:917-300-9675
Mailing Address - Fax:
Practice Address - Street 1:170 W 73RD ST LBBY SUITE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3006
Practice Address - Country:US
Practice Address - Phone:917-300-9675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026833103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical