DR. Richenel Samuel Ellecom, PSY.D; DR.P.H
NPI #1063406569 in Willow Brook, Illinois
Provider Information
- NPI Number
- 1063406569
- Entity Type
- Individual
- Name
- DR. Richenel Samuel Ellecom, PSY.D; DR.P.H
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- PSY.D; DR.P.H
- Enumeration Date
- Sep 12, 2005
- Last Updated
- Oct 27, 2008
Practice Location
- Address
- 621 PLAINFIELD RD
- Address 2
- SUITE 110
- City
- Willow Brook
- State
- Illinois
- ZIP Code
- 60527-5343
- Phone
- (630) 654-1377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
| Dietitian, Registered |
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