Organization
ELLIE ZACKS, PHD CLINICAL PSYCHOLOGIST, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIE ZACKS (PRESIDENT)
(916) 863-1790
Entity
Organization
Contact information
Practice address
9700 FAIR OAKS BLVD, SUITE D, FAIR OAKS, CA 95628-7079
(916) 863-1790
Mailing address
9700 FAIR OAKS BLVD, SUITE D, FAIR OAKS, CA 95628-7079
(916) 863-1790
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10426
CA
Other
Enumeration date
05/10/2006
Last updated
08/22/2020
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