Provider Demographics
NPI:1972047504
Name:NECRASON, EMILY S (PSYD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:S
Last Name:NECRASON
Suffix:
Gender:F
Credentials:PSYD
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Mailing Address - Street 1:1 S PROSPECT ST., REHAB 3
Mailing Address - Street 2:C/O UVM MEDICAL CENTER, PSYCHIATRY/PSYCH SVCS.
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401
Mailing Address - Country:US
Mailing Address - Phone:802-847-4696
Mailing Address - Fax:802-847-4612
Practice Address - Street 1:1 S PROSPECT ST., REHAB 3
Practice Address - Street 2:C/O UVM MEDICAL CENTER, PSYCHIATRY/PSYCH SVCS.
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401
Practice Address - Country:US
Practice Address - Phone:802-847-4696
Practice Address - Fax:802-847-4612
Is Sole Proprietor?:No
Enumeration Date:2016-12-16
Last Update Date:2019-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VT000.00000103TC0700X
103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical