Bader, Ellyn

Bader, Ellyn is an sole proprietor health care provider with primary practice located at 445 Burgess Drive Suite #150, Menlo Park CA 94025-3442. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bader, Ellyn can be contacted via phone (650) 327-5915.

Contact Information

Primary practice address
445 Burgess Drive Suite #150 Menlo Park CA 94025-3442
Phone: (650) 327-5915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY6961 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC6591 California

Profile Details

NPI number 1235349895
LBN Legal business name Bader, Ellyn
Credentials MFT, PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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