Provider Demographics
NPI:1417770058
Name:QUICK-PARIKH, ELLEN K (PHD)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:K
Last Name:QUICK-PARIKH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:
Other - Last Name:QUICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, BS
Mailing Address - Street 1:8 KIMBALL ST APT 2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-3111
Mailing Address - Country:US
Mailing Address - Phone:616-490-2871
Mailing Address - Fax:
Practice Address - Street 1:8 KIMBALL ST APT 2
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-3111
Practice Address - Country:US
Practice Address - Phone:616-490-2871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist