| Organization Name: | ELLEN KEYT, PHD, PLLC |
| NPI Number: | 1053610782 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELLEN LOUISE KEYT (CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 26789 Woodward Ave Ste 110 Huntington Woods |
| State: | MI US |
| Postal Code: | 480701334 |
| Phone Number: | 3134920166 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2011 |
| NPI Last Update Date: | 03/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301014137 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |