Provider Demographics
NPI:1154441962
Name:SCHLEFER, ELLEN KING (MD)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:KING
Last Name:SCHLEFER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 COLONY COVE ROAD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-3410
Mailing Address - Country:US
Mailing Address - Phone:603-512-0205
Mailing Address - Fax:603-335-9278
Practice Address - Street 1:25 OLD DOVER ROAD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3464
Practice Address - Country:US
Practice Address - Phone:603-516-9300
Practice Address - Fax:603-335-9278
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH99332084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH9933OtherLICENCE
NHBS0707806OtherDEA
NHBS0707806OtherDEA