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NPI Code Detail

MEDICARE: MS. ELLEN M PURTELL LPC

MEDICARE: MS. ELLEN M PURTELL LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor37PC00417800NJ

General Provider Information

NPI Number : 1336398452
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELLEN M PURTELL LPC
Provider Business Mailing Address
First Line : 21 WHITMAN DR
Second Line :
City : CHATHAM
State : NJ
Zip : 07928-1711
Country : US
Telephone Number : 973-615-7037
Fax Number :
Provider Business Practice Location Address
First Line : 268 GREEN VILLAGE RD STE 21
Second Line :
City : GREEN VILLAGE
State : NJ
Zip : 07935-3027
Country : US
Telephone Number : 973-615-7037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2008
Last Update Date : 02/18/2024

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