Individual
DR. ELLIE FOX PYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., PSY.D.
Contact information
Practice address
300 S. BEVERLY DRIVE, SUITE 412, BEVERLY HILLS, CA 90212
(310) 553-7030
Mailing address
300 S. BEVERLY DR. #412, BEVERLY HILLS, CA 90212
(310) 553-7030
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
MFT32138
—
103TP0814X
Psychoanalysis Psychologist
MFT32138
—
106H00000X
Marriage & Family Therapist
MFT32138
—
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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