Provider Demographics
NPI:1699073288
Name:RIBNIK, EMILY LOUISE (PCC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:LOUISE
Last Name:RIBNIK
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 FRANK AVE NW
Mailing Address - Street 2:CAMPUS CENTER LOWER LEVEL
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7548
Mailing Address - Country:US
Mailing Address - Phone:330-244-5048
Mailing Address - Fax:330-244-3283
Practice Address - Street 1:6000 FRANK AVE NW
Practice Address - Street 2:CAMPUS CENTER LOWER LEVEL KENT STATE UNIVERSITY
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7548
Practice Address - Country:US
Practice Address - Phone:330-244-5048
Practice Address - Fax:330-244-3283
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-05
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1000022101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional