National Provider Identifier
Stacy Ellenberg, PHD
Stacy Ellenberg, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Ithaca, NY and a listed phone number of (508) 245-2276.
Profile Overview
- NPI
- 1285372870
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- May 24, 2022
- Last Updated
- May 24, 2022
Practice Location
- 6 Yardley Grn
- Ithaca, NY 14850-1259
Phone: (508) 245-2276
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1285372870
- Entity Type
- Individual
- Last Name
- Ellenberg
- First Name
- Stacy
- Credential
- PHD
- Mailing Street Address
- 6 Yardley Grn
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1259
- Mailing Country
- US
- Mailing Phone
- (508) 245-2276
- Practice Street Address
- 6 Yardley Grn
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1259
- Practice Country
- US
- Practice Phone
- (508) 245-2276
- Enumeration Date
- May 24, 2022
- Last Updated
- May 24, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)