| Doctor Name: | DR. ELLEN MARIE RICHTER |
| NPI Number: | 1386785442 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. PSYCHOLOGY |
| License Number: | 006082 |
| Business Practice Address: | 13719 14th Ave College Point, NY - 113562011 |
| Business Phone Number: | 2128383420 |
| Business Fax Number: | 2122082474 |
| Mailing Address: | 10705 70th Ave, Lower Level FOREST HILLS |
| State: | NY |
| Postal Code: | 113754300 |
| Phone Number: | 2128383420 |
| Fax Number: | 2122082474 |
| NPI Enumeration Date: | 02/10/2007 |
| NPI Last Update Date: | 01/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 006082 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |