Ellie Covin in Golden Valley - Clinical Child & Adolescent

Ellie Covin - NPI 1154526069

Ellie Covin is a Clinical Child & Adolescent in Golden Valley, Minnesota. Ellie Covin practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Ellie Covin is 1154526069. The last update date is 2007-07-08.

Ellie Covin's current location address is 1405 Lilac Dr N, Golden Valley, Minnesota. You can contact this provider via phone number 7635457708 and fax number 7635453479. The mailing address for Ellie Covin is 1405 Lilac Dr N, Golden Valley, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellie Covin
Address 1405 Lilac Dr N, Golden Valley, Minnesota
Phone Number 7635457708
Fax Number 7635453479
Sole Proprietor Y
Credentials PSY.D, LP

NPI Number Detail

NPI Number 1154526069
Provider Enumeration Date 2007-06-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1405 Lilac Dr N
City Golden Valley
State Minnesota (MN)
Post Code 554224535
Phone Number 7635457708
Fax Number 7635453479

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No LP 4519
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Ellie Covin

What is the Ellie Covin's 1154526069?

The Ellie Covin's NPI (National Provider Identifier) Number is 1154526069. 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 Ellie Covin's facilities are geographically located?

The facilities of Ellie Covin are physically situated at the following location: 1405 Lilac Dr N, Golden Valley, MN, 554224535.

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

The primary area of medical expertise for Ellie Covin is Clinical Child & Adolescent, and the corresponding taxonomy classification code for this specialized field is 103Tc2200X.

On what date did the Ellie Covin receive its 1154526069 assignment from the Centers for Medicare & Medicaid Services?

The Ellie Covin was assigned its 1154526069 by the Centers for Medicare & Medicaid Services on 2007-06-19.

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

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

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