Basic Information
Provider Information
NPI: 1447602537
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCFARLAND
FirstName: EMELIE
MiddleName: CHRISTINE
NamePrefix:  
NameSuffix:  
Credential: PSYD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4109 SALEM SPRINGS CT
Address2:  
City: WINSTON SALEM
State: NC
PostalCode: 271076549
CountryCode: US
TelephoneNumber: 4438211716
FaxNumber:  
Practice Location
Address1: 1601 BRENNER AVE
Address2:  
City: SALISBURY
State: NC
PostalCode: 281442515
CountryCode: US
TelephoneNumber: 8007069126
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/13/2016
LastUpdateDate: 10/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X103384NCN Behavioral Health & Social Service ProvidersPsychologistClinical
103TC0700X5766NCY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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