Dr. Monica U. Ellis-Blied, PhD
Psychologist, Clinical in Claremont, CA. Individual provider (NPI-1).
NPI number1144705369
StatusActive
Last updated in NPPESJan 30, 2020
Details
- NPI
- 1144705369
- Entity type
- Individual (NPI-1)
- Name
- Dr. Monica U. Ellis-Blied
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2018
- Certification date
- Jan 30, 2020
- Last updated
- Jan 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY30328 | CA | Yes |
| 103TH0100X | Psychologist, Health Service | PSY30328 | CA |
Practice location
105 Spring StClaremont, CA 91711-4930
Phone 909-741-2849 · Fax 909-992-4101
Mailing address
105 Spring StClaremont, CA 91711-4930
Phone 323-351-9793
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