Individual
DR. ELLEN M EISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1012 SW EMKAY DR, BEND, OR 97702-1010
(541) 385-3155
(541) 388-5110
Mailing address
950 NW YOSEMITE DRIVE, BEND, OR 97701-6628
(541) 385-3155
(541) 388-5110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
913
OR
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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