Ellis, Lauren M.

Ellis, Lauren M. is an sole proprietor health care provider with primary practice located at 10 Grace Ave Office #6, Great Neck NY 11021-2447. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Ellis, Lauren M. can be contacted via phone (646) 535-2641.

Contact Information

Primary practice address
10 Grace Ave Office #6 Great Neck NY 11021-2447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 019389-1 New York

Profile Details

NPI number 1669775011
LBN Legal business name Ellis, Lauren M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2010
Last updated Sep 19th, 2012 - about 12 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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