Whalen, Ellen Jane

Whalen, Ellen Jane is an sole proprietor health care provider with primary practice located at 359 Eagle Rock Ave , West Orange NJ 07052. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Whalen, Ellen Jane can be contacted via phone (888) 284-2034.

Contact Information

Primary practice address
359 Eagle Rock Ave West Orange NJ 07052
Phone: (888) 284-2034
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 35S100609000 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1891173316
LBN Legal business name Whalen, Ellen Jane
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2015
Last updated Jul 21st, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891173316 NPPES
New Jersey MEDICAID 0023701

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