Provider Demographics
NPI:1831253400
Name:YASS-REED, ELLEN M (MA)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:M
Last Name:YASS-REED
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
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:FORT MITCHELL
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
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY114305101YA0400X, 103T00000X, 103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent