Individual
DR. CAROL GAIL ELLSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1219 CRESCENT PL APT 2A, PITTSBURGH, PA 15217-2694
(517) 881-0668
Mailing address
1219 CRESCENT PL APT 2A, PITTSBURGH, PA 15217-2694
(517) 881-0668
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301005425
MI
103T00000X
Psychologist
Primary
PS019893
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680A64500
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
06/28/2006
Last updated
06/22/2023
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