Individual
DR. ERNEST C. ELLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
309 GOODE ST STE 3E, HOUMA, LA 70360-5423
(985) 991-4214
Mailing address
303 GABASSE ST, HOUMA, LA 70360-4609
(985) 991-4214
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1159
LA
Other
Enumeration date
11/08/2011
Last updated
03/18/2021
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