Dr Ellen J Pettit, PHD - Psychologist in Davis, CA

Dr Ellen J Pettit, PHD is a Psychologist - Clinical based in Davis, California. Dr Ellen J Pettit is licensed to practice in California (license number PSY9144) and her current practice location is 1621 Oak Ave, Suite B, Davis, California. She can be reached at her office (for appointments etc.) via phone at (530) 753-6864.

NPI number for Dr Ellen J Pettit is 1780896233 and her current mailing address is 1621 Oak Ave, Suite B, Davis, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780896233.

Contact Information

Dr Ellen J Pettit, PHD
1621 Oak Ave, Suite B,
Davis, CA 95616-1000
(530) 753-6864
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Ellen J Pettit
GenderFemale
SpecialityPsychologist - Clinical
Location1621 Oak Ave, Davis, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780896233
  • Provider Enumeration Date: 05/05/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Ellen J Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780896233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY9144 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ellen J Pettit is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ellen J Pettit, PHD
1621 Oak Ave, Suite B,
Davis, CA 95616-1000

Ph: (530) 753-6864
Dr Ellen J Pettit, PHD
1621 Oak Ave, Suite B,
Davis, CA 95616-1000

Ph: (530) 753-6864

Reviews and Comments


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