Ellick, Laura Alison

Ellick, Laura Alison is an sole proprietor health care provider with primary practice located at 12 Renwick Ave Suite 103, Kings Park NY 11754-3709. She recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ellick, Laura Alison can be contacted via phone (516) 635-6186.

Contact Information

Primary practice address
12 Renwick Ave Suite 103 Kings Park NY 11754-3709
Phone: (516) 635-6186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 014960 New York
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 014960 New York
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X 014960 New York
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 014960 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 014960 New York
Behavioral Health & Social Service Providers / Health Service 103TH0100X 014960 New York
Behavioral Health & Social Service Providers / Health 103TH0004X 014960 New York
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 014960 New York
Behavioral Health & Social Service Providers / Family 103TF0000X 014960 New York

Profile Details

NPI number 1407875172
LBN Legal business name Ellick, Laura Alison
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Aug 17th, 2007 - about 19 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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