| Doctor Name: | DR. ELLEN E. RESCH |
| NPI Number: | 1477750131 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PY4333 |
| Business Practice Address: | 100 N Main St Landis Hall Chattahoochee, FL - 323241107 |
| Business Phone Number: | 8506637706 |
| Business Fax Number: | 8506637011 |
| Mailing Address: | 2191 Mohawk Trl, SNEADS |
| State: | FL |
| Postal Code: | 324603916 |
| Phone Number: | 8505935330 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 08/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | PY4333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |