Provider Demographics
NPI:1659113090
Name:WOOLEY, EMILY (MPS, ATR-BC, LPAT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:WOOLEY
Suffix:
Gender:F
Credentials:MPS, ATR-BC, LPAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1440
Mailing Address - Country:US
Mailing Address - Phone:732-768-8316
Mailing Address - Fax:
Practice Address - Street 1:4 CHURCH ST
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1440
Practice Address - Country:US
Practice Address - Phone:732-768-8316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ16LP00027800221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist