Search › Pennsylvania › 1041C0700X
Carly Ellman, LCSW
NPI 1154633634 · on the registry since 2010 · sole proprietor
Practice
- Address
- 39 Kenilworth Rd
Shavertown, PA 18708 - Phone
- (914) 393-2897
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania