DR. Erica R Ellis, PH.D.

NPI #1164503009 in Niskayuna, New York

Provider Information

NPI Number: 1164503009
Entity Type: Individual
Name: DR. Erica R Ellis, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Oct 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2310 NOTT ST E
City: Niskayuna
State: New York
ZIP Code: 12309-4303
Phone: (518) 372-6080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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