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NPI Code Detail

MEDICARE: ELLEN BETH LITTMAN

MEDICARE:   ELLEN BETH LITTMAN
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
1103TC0700XClinical Psychologist011870-1NY

General Provider Information

NPI Number : 1740798388
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN BETH LITTMAN
Provider Business Mailing Address
First Line : 175 E MAIN ST STE 202
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2973
Country : US
Telephone Number : 914-244-1704
Fax Number : 914-244-6373
Provider Business Practice Location Address
First Line : 175 E MAIN ST STE 202
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2973
Country : US
Telephone Number : 914-244-1704
Fax Number : 914-244-6373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2018
Last Update Date : 01/17/2018

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Directions to “ ELLEN BETH LITTMAN ” Practice Location

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