Organization Name: | ELLEN YASS-REED, M.A. PLLC |
NPI Number: | 1558557215 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLEN M YASS-REED (PSYCHOLOGICAL PRACTITIONER) |
Mailing Address: | 2128 Chamber Center Dr Lakeside Park |
State: | KY US |
Postal Code: | 410171669 |
Phone Number: | 8593316525 |
Fax Number: | 8593316526 |
NPI Enumeration Date: | 09/17/2007 |
NPI Last Update Date: | 09/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | KY 0018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |