Search › Oklahoma › 1041C0700X
Tracy Ellman, LCSW
NPI 1124359682 · on the registry since 2010
Practice
- Address
- 30 C St Ne
Miami, OK 74354 - Phone
- (918) 540-1563
- Fax
- (918) 542-7778
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma