DR. Theodore Jacob Ellenhorn, PHD

NPI #1609911544 in Amherst, Massachusetts

Provider Information

NPI Number: 1609911544
Entity Type: Individual
Name: DR. Theodore Jacob Ellenhorn, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Feb 20, 2007
Last Updated: Feb 25, 2020

Practice Location

Address: 17 KELLOGG AVE
Address 2: STE 3
City: Amherst
State: Massachusetts
ZIP Code: 01002-2150
Phone: (413) 256-3075

Specialties & Taxonomy Codes

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

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