Sterling Grant Ellsworth in Elmira - Psychologist
Sterling Grant Ellsworth - NPI 1114062759
Sterling Grant Ellsworth is a Psychologist in Elmira, Oregon. Sterling Grant Ellsworth practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sterling Grant Ellsworth is 1114062759. The last update date is 2016-09-27.
Sterling Grant Ellsworth's current location address is 25450 Arnold Ln, Elmira, Oregon. You can contact this provider via phone number 5419356215. The mailing address for Sterling Grant Ellsworth is 25450 Arnold Ln, Elmira, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sterling Grant Ellsworth |
|---|---|
| Address | 25450 Arnold Ln, Elmira, Oregon |
| Phone Number | 5419356215 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD PC |
NPI Number Detail
| NPI Number | 1114062759 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2016-09-27 |
Provider Mailing Address Detail
| Address | 25450 Arnold Ln |
|---|---|
| City | Elmira |
| State | Oregon (OR) |
| Post Code | 974379782 |
| Phone Number | 5419356215 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 87 |
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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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What is the unique 10-digit identification code assigned to Sterling Grant Ellsworth by the Centers for Medicare & Medicaid Services?
The Sterling Grant Ellsworth has been issued the NPI (National Provider Identifier) 1114062759, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sterling Grant Ellsworth?
The Sterling Grant Ellsworth is physically situated at 25450 Arnold Ln, in the city of Elmira, state of OR, with the postal code 974379782.
What is Sterling Grant Ellsworth's area of expertise and its corresponding taxonomy classification?
The Sterling Grant Ellsworth's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1114062759 to Sterling Grant Ellsworth?
The Centers for Medicare & Medicaid Services assigned the 1114062759 to Sterling Grant Ellsworth on 2007-02-21.
As of what date were the Sterling Grant Ellsworth's details last updated?
The information pertaining to the Sterling Grant Ellsworth, including its address, specialty, and other details, was most recently updated on 2016-09-27.