Medway, Ellen

Medway, Ellen is an sole proprietor health care provider with primary practice located at 520 S Sepulveda Blvd #302, Los Angeles CA 90049-3521. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychoanalyst is her primary health care specialty. Medway, Ellen can be contacted via phone (310) 476-6050.

Contact Information

Primary practice address
520 S Sepulveda Blvd #302 Los Angeles CA 90049-3521
Phone: (310) 476-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X MFC17344 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC17344 California

Profile Details

NPI number 1841576352
LBN Legal business name Medway, Ellen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2011
Last updated Oct 28th, 2011 - about 13 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.

Request for update

Popular Providers