NPI 1003028473

Roberta Margaret Elledge, LMFT

Practitioner Marriage & Family Therapist Modesto, CA

Practice location

Address: 819 15th St, Modesto, CA 95354-1113
Phone: (209) 549-9608
Fax: (209) 522-5700

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFC31467 (CA)

Other Marriage & Family Therapist providers in California →

Registry record

NPI: 1003028473
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 May 2007
Record last updated: 8 Jul 2007

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.