National Provider Identifier Database

LAURA A ELLICK, PhD – NPI #1407875172
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

LAURA A ELLICK, PhD
12 RENWICK AVE
SUITE 103
KINGS PARK, NY11754-3709
Phone: 516-635-6186
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Clinical Child & Adolescent 103TC2200X
Cognitive & Behavioral 103TB0200X
Exercise & Sports 103TE1100X
Family 103TF0000X
Group Psychotherapy 103TP2701X
Health 103TH0004X
Health Service 103TH0100X
Marriage & Family Therapist 106H00000X

* Indicates primary specialty

NPI Profile & details for LAURA A ELLICK

NPI Number 1407875172
Credentials PhD
Entity Individual
Enumeration date 07/19/2006
Last updated 08/17/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 014960
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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