Ellen Coste, PHD

Individual provider Active NPI Clinical Psychologist · Millis, MA

NPI 1326544461 · NPPES record last updated Apr 5, 2018

Key facts

NPI
1326544461
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
4067 (MA)
Practice address
146 Spring St
Millis, MA 02054-1549
Phone
(508) 376-5662
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4067MAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4067 MA Yes

Addresses

Primary practice location

146 Spring St
Millis, MA 02054-1549

Mailing address

146 Spring St
Millis, MA 02054-1549
Phone (508) 376-5662

Other providers in Millis, MA

All providers in Millis, MA · Clinical Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.