Stacy Ellenberg, PHD

NPI #1285372870 in Ithaca, New York

Provider Information

NPI Number: 1285372870
Entity Type: Individual
Name: Stacy Ellenberg, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: May 24, 2022
Last Updated: May 24, 2022

Practice Location

Address: 6 YARDLEY GRN
City: Ithaca
State: New York
ZIP Code: 14850-1259
Phone: (508) 245-2276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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