| Ellie Zacks, Phd Clinical Psychologist, Apc | |
|
9700 Fair Oaks Blvd Suite D Fair Oaks CA 95628-7079 | |
| (916) 863-1790 | |
| Not Available |
| Full Name | Ellie Zacks, Phd Clinical Psychologist, Apc |
|---|---|
| Speciality | Psychologist |
| Location | 9700 Fair Oaks Blvd, Fair Oaks, California |
| Authorized Official Name and Position | Ellie Zacks (PRESIDENT) |
| Authorized Official Contact | 9168631790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Zacks, Phd Clinical Psychologist, Apc 9700 Fair Oaks Blvd Suite D Fair Oaks CA 95628-7079 Ph: (916) 863-1790 | Ellie Zacks, Phd Clinical Psychologist, Apc 9700 Fair Oaks Blvd Suite D Fair Oaks CA 95628-7079 Ph: (916) 863-1790 |
| NPI Number | 1821048067 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821048067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY10426 (California) | Primary |
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