Provider Demographics
NPI:1558557215
Name:ELLEN YASS-REED, M.A. PLLC
Entity Type:Organization
Organization Name:ELLEN YASS-REED, M.A. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGICAL PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:YASS-REED
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:859-331-6525
Mailing Address - Street 1:2128 CHAMBER CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LAKESIDE PARK
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1669
Mailing Address - Country:US
Mailing Address - Phone:859-331-6525
Mailing Address - Fax:859-331-6526
Practice Address - Street 1:2128 CHAMBER CENTER DR
Practice Address - Street 2:
Practice Address - City:LAKESIDE PARK
Practice Address - State:KY
Practice Address - Zip Code:41017-1669
Practice Address - Country:US
Practice Address - Phone:859-331-6525
Practice Address - Fax:859-331-6526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY 0018103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty