| Elliott & Associates Inc | |
|
5600 Monroe St Ste 201 Sylvania OH 43560-2731 | |
| (419) 885-1910 | |
| (419) 885-5060 |
| Full Name | Elliott & Associates Inc |
|---|---|
| Speciality | Counselor |
| Location | 5600 Monroe St, Sylvania, Ohio |
| Authorized Official Name and Position | Jacob J Elliott (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4198851910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott & Associates Inc 5600 Monroe St Ste 201 Sylvania OH 43560-2731 Ph: (419) 885-1910 | Elliott & Associates Inc 5600 Monroe St Ste 201 Sylvania OH 43560-2731 Ph: (419) 885-1910 |
| NPI Number | 1710974035 |
|---|---|
| Provider Enumeration Date | 10/03/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5496788200 |
|---|---|
| Medicare Enrollment ID | O20050913000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710974035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jacob J Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629065701 PECOS PAC ID: 6901839729 Enrollment ID: I20120412000240 |
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