Individual provider · Type 1 NPI
Ellen Koch Utley, MD
Professional Counselor · Ridgefield, CT
NPI number
1164705950
Active
Practice location
318 Silver Spring Rd
Ridgefield, CT 06877-5417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 175131 (NY) |
Professional Counselor: Definition to come...
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About NPI 1164705950
Ellen Koch Utley, MD's National Provider Identifier is 1164705950, issued on Sep 28, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ridgefield, CT. The record was last updated on Sep 28, 2011.