Individual
DR. ELLEN J. PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1621 OAK AVE, SUITE B, DAVIS, CA 95616-1000
(530) 753-6864
Mailing address
1621 OAK AVE, SUITE B, DAVIS, CA 95616-1000
(530) 753-6864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9144
CA
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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