Provider Demographics
NPI:1346247426
Name:KNELL, ELLEN R (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:R
Last Name:KNELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 N RAYMOND AVE
Mailing Address - Street 2:STE 250
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-4488
Mailing Address - Country:US
Mailing Address - Phone:626-405-1900
Mailing Address - Fax:626-356-0996
Practice Address - Street 1:20 N RAYMOND AVE
Practice Address - Street 2:STE 250
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-4488
Practice Address - Country:US
Practice Address - Phone:626-405-1900
Practice Address - Fax:626-356-0996
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANA170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics