Keller, Ellen

Keller, Ellen is an sole proprietor health care provider with primary practice located at 81 Lincoln Ave , Deer Park NY 11729-7015. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Keller, Ellen can be contacted via phone (631) 902-0505.

Contact Information

Primary practice address
81 Lincoln Ave Deer Park NY 11729-7015
Phone: (631) 902-0505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 013125 New York

Profile Details

NPI number 1083015879
LBN Legal business name Keller, Ellen
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2014
Last updated Sep 11th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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