Ellen F. Stark, PH.D.

Cognitive & Behavioral Psychologist · Mansfield, OH

Individual Active NPI

NPI number 1023197787

Practice location

1150 N Main St
Mansfield, OH 44903-9718
Phone
(419) 525-4455

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NPI record

NPI
1023197787
Entity type
Individual (Type 1)
Enumeration date
November 3, 2006
Last updated
September 21, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Cognitive & Behavioral Psychologist Primary 103TB0200X 5647 OH

About Dr. Stark

Ellen F. Stark, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Cognitive & Behavioral Psychologist (code 103TB0200X). The practice location is 1150 N Main St, Mansfield, OH 44903-9718. The NPI number 1023197787 was assigned on November 3, 2006 and the record was last updated on September 21, 2009.

Dr. Stark lists a license in the registry: #5647 (OH) for Cognitive & Behavioral Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen F. Stark, PH.D.?

The NPI number is 1023197787.

What is the phone number of Dr. Stark?

The phone number listed for the practice location is (419) 525-4455.

Where is Dr. Stark located?

1150 N Main St, Mansfield, OH 44903-9718.

What is the taxonomy code for Dr. Stark?

The primary taxonomy code is 103TB0200X – Cognitive & Behavioral Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.