NPI 1265547681

Audrey Erlene Ellenwood, PHD

Practitioner Psychologist Sylvania, OH

Practice location

Address: 6400 Monroe St Suite E, Sylvania, OH 43560-1453
Phone: (419) 885-4121
Mailing address: 5303 Spring Creek Ln, Sylvania, OH 43560-1317

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 3998 (OH)

Other Psychologist providers in Ohio →

Registry record

NPI: 1265547681
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2006
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.