THEODORE JACOB ELLENHORN

AMHERST, MA
NPI1609911544
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MA  5069)
Enumeration Date2007-02-20
Last Update Date2020-02-25
Business Address
Dr. THEODORE JACOB ELLENHORN PhD
17 KELLOGG AVE STE 3
AMHERST, MA 01002-2150
Phone number: 413-256-3075
Mailing Address
Dr. THEODORE JACOB ELLENHORN PhD
79 SOUTH PLEASANT STREET ROOM 302
AMHERST, MA 01002
Phone number: 413-256-3075
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