Doctor Name: | DR. WILLIAM F ELLINGTON |
NPI Number: | 1053630988 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 3806 |
Business Practice Address: | 303 N West St Mcalester, OK - 745014361 |
Business Phone Number: | 9084205447 |
Business Fax Number: | 9184205887 |
Mailing Address: | 303 N West St, MCALESTER |
State: | OK |
Postal Code: | 745014361 |
Phone Number: | 9084205447 |
Fax Number: | 9184205887 |
NPI Enumeration Date: | 05/17/2010 |
NPI Last Update Date: | 05/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3806 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |