Individual
DR. ELLEN F. STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1150 N MAIN ST, MANSFIELD, OH 44903-9718
(419) 525-4455
Mailing address
1150 N MAIN ST, MANSFIELD, OH 44903-9718
(330) 334-3450
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
5647
OH
Other
Enumeration date
11/03/2006
Last updated
09/21/2009
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