Dr Laura Alison Ellick, PHD is a
Psychologist - Clinical based in Kings Park, New York. Dr Laura Alison Ellick is licensed to practice in New York (license number 014960) and her current practice location is
12 Renwick Ave, Suite 103, Kings Park, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 635-6186.
NPI number for Dr Laura Alison Ellick is 1407875172 and her current mailing address is 39 Dehan St, Smithtown, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407875172.
Healthcare Provider's Profile
| Full Name | Dr Laura Alison Ellick |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 12 Renwick Ave, Kings Park, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407875172
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 08/17/2007
Medical Identifiers
Medical identifiers for Dr Laura Alison Ellick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407875172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 014960 (New York) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 014960 (New York) | Secondary |
| 103TE1100X | Psychologist - Exercise & Sports | 014960 (New York) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 014960 (New York) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 014960 (New York) | Secondary |
| 103TH0100X | Psychologist - Health Service | 014960 (New York) | Secondary |
| 103TH0004X | Psychologist - Health | 014960 (New York) | Secondary |
| 106H00000X | Marriage & Family Therapist | 014960 (New York) | Secondary |
| 103TF0000X | Psychologist - Family | 014960 (New York) | Secondary |
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 Laura Alison Ellick 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 Address | Practice Location Address |
|---|
Dr Laura Alison Ellick, PHD
39 Dehan St,
Smithtown, NY 11787-1034
Ph: (631) 656-9507 | Dr Laura Alison Ellick, PHD
12 Renwick Ave, Suite 103,
Kings Park, NY 11754-3709
Ph: (516) 635-6186 |
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