Jaclene Elizabeth Ellis Valid NPI

Individual provider · Psychologist · Manhasset, NY

NPI

1134630486

Type

Individual (Type 1)

Primary specialty

Psychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103T00000X

Sex

Female

Sole proprietor

No

Enumerated

2017-10-13

Last updated

2017-10-13