| Doctor Name: | DR. ELLEN FROST |
| NPI Number: | 1194916338 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 007268 |
| Business Practice Address: | 200 East 33 St Suite #25j New York City, NY - 100164874 |
| Business Phone Number: | 2127250543 |
| Business Fax Number: | 2127250543 |
| Mailing Address: | 200 East 33 St, Suite 25j NEW YORK CITY |
| State: | NY |
| Postal Code: | 100164874 |
| Phone Number: | 2127250543 |
| Fax Number: | 2127250543 |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 08/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 007268 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |