Provider Demographics
NPI:1154441962
Name:SCHLEFER, ELLEN KING (MD)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:KING
Last Name:SCHLEFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LADD ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4087
Mailing Address - Country:US
Mailing Address - Phone:603-431-3933
Mailing Address - Fax:603-433-6341
Practice Address - Street 1:20 LADD ST
Practice Address - Street 2:SUITE 403
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4087
Practice Address - Country:US
Practice Address - Phone:603-431-3933
Practice Address - Fax:603-433-6341
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH99332084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH9933OtherLICENCE
NHBS0707806OtherDEA
NHBS0707806OtherDEA