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Individual
DR. ELLEN A DOERNBERG
Active
Individual
DR. ELLEN A DOERNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY10001930
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
07/14/2026
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