Pettit, Ellen J.

Pettit, Ellen J. is an sole proprietor health care provider with primary practice located at 1621 Oak Ave Suite B, Davis CA 95616-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pettit, Ellen J. can be contacted via phone (530) 753-6864.

Contact Information

Primary practice address
1621 Oak Ave Suite B Davis CA 95616-1000
Phone: (530) 753-6864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY9144 California

Profile Details

NPI number 1780896233
LBN Legal business name Pettit, Ellen J.
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2007
Last updated Jul 8th, 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.

Request for update

Popular Providers