Ely, Jenice Amy

Ely, Jenice Amy is an individual health care provider with primary practice located at 4 Militia Dr Suite 15, Lexington MA 02421-4737. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Ely, Jenice Amy can be contacted via phone (781) 674-1121.

Contact Information

Primary practice address
4 Militia Dr Suite 15 Lexington MA 02421-4737
Phone: (781) 674-1121
Fax: (781) 674-1121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6930 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6930 Massachusetts

Profile Details

NPI number 1467409839
LBN Legal business name Ely, Jenice Amy
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
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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