Ellie Zacks, PHD Clinical Psychologist, Apc

NPI #1821048067 in Fair Oaks, California

Provider Information

NPI Number: 1821048067
Entity Type: Organization
Organization Name: Ellie Zacks, PHD Clinical Psychologist, Apc
Primary Specialty: Psychologist
Enumeration Date: May 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 9700 FAIR OAKS BLVD
Address 2: SUITE D
City: Fair Oaks
State: California
ZIP Code: 95628-7079
Phone: (916) 863-1790

Authorized Official

Name: DR. ELLIE ZACKS
Title: PRESIDENT
Phone: (916) 863-1790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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