# ELLEN HOUSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003075631
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | L-236411 | MA | — |
| 2084P0800X | Psychiatry Physician | MD51409 | TN | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 250276 | MA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD51409 | TN | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 08/14/2014