Provider Demographics
NPI:1053948281
Name:MCINTYRE, EMILY (MT-BC, LPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:MT-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 PINETOWN RD STE 430
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2609
Mailing Address - Country:US
Mailing Address - Phone:610-615-0531
Mailing Address - Fax:
Practice Address - Street 1:317 WEST AVE
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-1522
Practice Address - Country:US
Practice Address - Phone:585-589-5613
Practice Address - Fax:585-637-2375
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14707225A00000X
PAPC018435101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist