Individual
DR. ELLIE COVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D, LP
Contact information
Practice address
1405 LILAC DR N, GOLDEN VALLEY, MN 55422-4535
(763) 545-7708
(763) 545-3479
Mailing address
17751 78TH PL N, MAPLE GROVE, MN 55311-3770
(763) 494-4449
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP 4519
MN
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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