Ellen Keyt, Phd, Pllc

NPI 1053610782 - Psychologist - 103TC0700X

NPI Details
NPI 1053610782
Enumeration Date 03/21/2011
Last Updated 03/21/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ELLEN LOUISE ELLEN
Position CLINICAL PSYCHOLOGIST
Phone (313) 492-0166
Fax
Practice Location
26789 WOODWARD AVE STE 110
HUNTINGTON WOODS MI, 48070-1334, US
Phone (313) 492-0166
Fax
Business Location
13932 ARNOLD
REDFORD MI, 48239-2817, US
Phone (313) 492-0166
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Michigan
License Number 6301014137
Remove 1053610782 NPI Number
 

According to our database, Ellen Keyt, Phd, Pllc NPI is 1053610782, taxonomy code is 103TC0700X and license number is 6301014137, license state is located at Michigan. Ellen Keyt, Phd, Pllc physically located at 26789 Woodward Ave Ste 110, Huntington Woods MI, 48070-1334. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053610782 NPI number is provided on an as is basis without warranty of any kind. 1053610782 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Keyt, Phd, Pllc are for informational purposes only.