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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

STEPHEN W EMERICK, PH.D. ,CCDCIII
7071 CORPORATE WAY
CENTERVILLE, OH45459-8911
 Phone: 937-434-2100
 Fax: 937-439-3747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STEPHEN W EMERICK · (Male)

NPI Number 1184608523
Credentials PH.D. ,CCDCIII
Entity Individual
Enumeration date 11/30/2005
Last updated 07/09/2007 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
OH License # 4189
OH License # 90281CCDCIII
OH Medicaid 0738027
OH Medicare (Unspecified) EMC PO4481 PSYCHOLOGIST
OH Medicare UPIN R71474
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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