Audrey Erlene Ellenwood in Sylvania - Psychologist
Audrey Erlene Ellenwood - NPI 1265547681
Audrey Erlene Ellenwood is a Psychologist in Sylvania, Ohio. Audrey Erlene Ellenwood practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Audrey Erlene Ellenwood is 1265547681. The last update date is 2007-07-08.
Audrey Erlene Ellenwood's current location address is 5303 Spring Creek Ln, Sylvania, Ohio. You can contact this provider via phone number 4198854121. The mailing address for Audrey Erlene Ellenwood is 5303 Spring Creek Ln, Sylvania, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audrey Erlene Ellenwood |
|---|---|
| Address | 5303 Spring Creek Ln, Sylvania, Ohio |
| Phone Number | 4198854121 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1265547681 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5303 Spring Creek Ln |
|---|---|
| City | Sylvania |
| State | Ohio (OH) |
| Post Code | 435601317 |
| Phone Number | 4198854121 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 3998 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23158 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Audrey Erlene Ellenwood by the Centers for Medicare & Medicaid Services?
The Audrey Erlene Ellenwood has been assigned the NPI (National Provider Identifier) 1265547681 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Audrey Erlene Ellenwood?
The Audrey Erlene Ellenwood is situated at 5303 Spring Creek Ln, in the city of Sylvania, state of OH, with the zip code 435601317.
What is Audrey Erlene Ellenwood's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Audrey Erlene Ellenwood is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265547681 to Audrey Erlene Ellenwood?
The Centers for Medicare & Medicaid Services originally issued the 1265547681 to Audrey Erlene Ellenwood on 2006-08-19.
As of what date were the details pertaining to Audrey Erlene Ellenwood last refreshed?
The information related to the Audrey Erlene Ellenwood, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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