Individual provider · Type 1 NPI
Ellen S. Brackup, PhD
Psychologist · Atlanta, GA
Practice location
1251 Apple Valley Rd NE
Atlanta, GA 30319-5424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 697 (GA) |
| Clinical Psychologist | 103TC0700X | 697 (GA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1720109317
Ellen S. Brackup, PhD's National Provider Identifier is 1720109317, issued on Apr 2, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Atlanta, GA. The record was last updated on Sep 11, 2025.