Individual provider · Type 1 NPI

Ellie Stacey Ettman, LPC

Professional Counselor · Plymouth Meeting, PA

NPI number 1023668134 Active

Practice location

140 W Germantown Pike Ste 160
Plymouth Meeting, PA 19462-1421

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC006011 (PA)

Professional Counselor: Definition to come...

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About NPI 1023668134

Ellie Stacey Ettman, LPC's National Provider Identifier is 1023668134, issued on Sep 19, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Plymouth Meeting, PA. The record was last updated on Nov 25, 2025.