Individual
DR. LAUREN ROSE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
25 SLEEPY HOLLOW DR, TABERNACLE, NJ 08088-8506
(718) 873-4908
Mailing address
740 MARNE HWY, MOORESTOWN, NJ 08057-3126
(856) 553-0769
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00652600
NJ
Other
Enumeration date
09/22/2021
Last updated
02/24/2025
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