Dr. Elias Michael Ellovich
School Psychologist
699 Bloomfield Ave
Bloomfield
, Connecticut 06002-2462
Dr. Elias Michael Ellovich
School Psychologist
699 Bloomfield Ave
Bloomfield
, Connecticut 06002-2462
(860) 242-1257
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Dr. Elias Michael Ellovich
- 699 Bloomfield Ave
- Bloomfield, CT
- Zip : 06002-2462
- Fax : (860) 242-1257
- Phone : (860) 278-6355
Second Address
- Dr. Elias Michael Ellovich
- 699 Bloomfield Ave
- Bloomfield, CT
- Zip : 06002-2462
- Fax : (860) 242-1257
- Phone : (860) 278-6355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | 10521 | CT |
National Provider Identifier
| NPI | 1043417801 |
|---|---|
| Provider Name | Dr. Elias Michael Ellovich |
| First Address | Bloomfield, CT 06002-2462 |
| Second Address | Bloomfield, CT 06002-2462 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.