Individual
ELLEN BEYDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
115 W 27TH ST, 4, NEW YORK, NY 10001-6217
(917) 538-5104
Mailing address
311 15TH ST, BROOKLYN, NY 11215-5005
(917) 538-5104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014761-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02407243
—
NY
Enumeration date
05/30/2006
Last updated
02/27/2014
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