| Dr. Stacy Ellis, P.c. | |
|
1900 Ogden Ave Ste 106 Aurora IL 60504-4284 | |
| (630) 405-7265 | |
| Not Available |
| Full Name | Dr. Stacy Ellis, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1900 Ogden Ave Ste 106, Aurora, Illinois |
| Authorized Official Name and Position | Stacy Ellis (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3232287746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Stacy Ellis, P.c. Po Box 398 Winfield IL 60190-0398 Ph: (323) 228-7746 | Dr. Stacy Ellis, P.c. 1900 Ogden Ave Ste 106 Aurora IL 60504-4284 Ph: (630) 405-7265 |
| NPI Number | 1912537200 |
|---|---|
| Provider Enumeration Date | 01/25/2020 |
| Last Update Date | 01/25/2020 |
| Certification Date | 01/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912537200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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