Individual
DR. ELLEN YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
325 E HILLCREST DR, STE 115, THOUSAND OAKS, CA 91360-5828
(805) 370-1756
(805) 495-6970
Mailing address
325 E HILLCREST DR, STE 115, THOUSAND OAKS, CA 91360-5828
(805) 370-1756
(805) 495-6970
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY8102
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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