Sandra Peppercorn Ellison in Farmington Hills - Psychologist

Sandra Peppercorn Ellison - NPI 1710921275

Sandra Peppercorn Ellison is a Psychologist in Farmington Hills, Michigan. Sandra Peppercorn Ellison practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sandra Peppercorn Ellison is 1710921275. The last update date is 2007-07-08.

Sandra Peppercorn Ellison's current location address is 28511 Orchard Lake Rd, Farmington Hills, Michigan. You can contact this provider via phone number 2484891550 and fax number 2484899767. The mailing address for Sandra Peppercorn Ellison is 28511 Orchard Lake Rd, Farmington Hills, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandra Peppercorn Ellison
Address 28511 Orchard Lake Rd, Farmington Hills, Michigan
Phone Number 2484891550
Fax Number 2484899767
Sole Proprietor X
Credentials M.A., L.L.

NPI Number Detail

NPI Number 1710921275
Provider Enumeration Date 2006-06-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 28511 Orchard Lake Rd
City Farmington Hills
State Michigan (MI)
Post Code 483342933
Phone Number 2484891550
Fax Number 2484899767

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 6801065312
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Sandra Peppercorn Ellison

What is the Sandra Peppercorn Ellison's 1710921275?

The Sandra Peppercorn Ellison's NPI (National Provider Identifier) Number is 1710921275. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Sandra Peppercorn Ellison's facilities are geographically located?

The facilities of Sandra Peppercorn Ellison are physically situated at the following location: 28511 Orchard Lake Rd, Farmington Hills, MI, 483342933.

What is Sandra Peppercorn Ellison's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Sandra Peppercorn Ellison is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.

On what date did the Sandra Peppercorn Ellison receive the assignment of its 1710921275 from the Centers for Medicare & Medicaid Services?

The Sandra Peppercorn Ellison was issued its 1710921275 by the Centers for Medicare & Medicaid Services on 2006-06-15.

As of what date was the information pertaining to Sandra Peppercorn Ellison, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Sandra Peppercorn Ellison, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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