Individual
ELLENA FICKETT CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 YGNACIO VALLEY RD STE 320, WALNUT CREEK, CA 94596-3838
(925) 939-7500
(925) 939-7500
Mailing address
700 YGNACIO VALLEY RD, WALNUT CREEK, CA 94596-3849
(925) 939-7500
(925) 939-7500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31146
CA
Other
Enumeration date
06/27/2013
Last updated
01/31/2020
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