NPI 1013670868
Ellis Psychotherapy, Training & Consultation
Practice location
- Address
- 21 Farnham Ave APT 1, New Haven, CT 06515-1265
- Phone
- (475) 441-4082
- Mailing address
- 33 Dixwell Ave # 239, New Haven, CT 06511-3403
Authorised official
- Name
- Sylvadra Ellis
- Title
- Owner/Clinical Director
- Phone
- (475) 441-4082
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1013670868
- Entity type
- Organization
- NPI issued
- 19 Oct 2021
- Record last updated
- 20 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.