Dr Laura Alison Ellick, PHD - Psychologist in Kings Park, NY

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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.

Contact Information

Dr Laura Alison Ellick, PHD
12 Renwick Ave, Suite 103,
Kings Park, NY 11754-3709
(516) 635-6186
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Laura Alison Ellick
GenderFemale
SpecialityPsychologist - Clinical
Location12 Renwick Ave, Kings Park, New York
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1407875172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 014960 (New York)Primary
103TB0200XPsychologist - Cognitive & Behavioral 014960 (New York)Secondary
103TE1100XPsychologist - Exercise & Sports 014960 (New York)Secondary
103TP2701XPsychologist - Group Psychotherapy 014960 (New York)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 014960 (New York)Secondary
103TH0100XPsychologist - Health Service 014960 (New York)Secondary
103TH0004XPsychologist - Health 014960 (New York)Secondary
106H00000XMarriage & Family Therapist 014960 (New York)Secondary
103TF0000XPsychologist - 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 AddressPractice 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

Reviews and Comments


Psychologist in Kings Park, NY

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Dr. Randie Jill London, PSY.D.
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Phone: 516-987-0428    

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