Provider Demographics
NPI:1013764083
Name:ZUBRISKI, EMILY MICHELLE
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MICHELLE
Last Name:ZUBRISKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 E BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-2407
Mailing Address - Country:US
Mailing Address - Phone:267-266-2173
Mailing Address - Fax:
Practice Address - Street 1:525 S 4TH ST STE 598
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-1581
Practice Address - Country:US
Practice Address - Phone:267-585-2980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC019089101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional