Benjamin John Ellem, PHD in Ann Arbor, MI - Psychologist

Benjamin John Ellem, PHD is a Psychologist based in Ann Arbor, Michigan. Benjamin John Ellem is licensed to practice in * (Not Available) (license number ) and his current practice location is 2215 Fuller Rd, Ann Arbor, Michigan. He can be reached at his office (for appointments etc.) via phone at (734) 769-7100.

NPI number for Benjamin John Ellem is 1093591240 and his current mailing address is 7341 Wilderness Park Dr Apt 303, Westland, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093591240.

Contact Information

	Benjamin John Ellem, PHD
	2215 Fuller Rd, Ann Arbor, MI 48105-2303
	(734) 769-7100
	Not Available

Healthcare Provider's Profile

Full Name	Benjamin John Ellem
Gender	Male
Speciality	Psychologist
Location	2215 Fuller Rd, Ann Arbor, Michigan
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1093591240
Provider Enumeration Date: 09/05/2023
Last Update Date: 09/05/2023

Medical Identifiers

Medical identifiers for Benjamin John Ellem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093591240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin John Ellem is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Benjamin John Ellem, PHD 7341 Wilderness Park Dr Apt 303, Westland, MI 48185-5974 Ph: (814) 359-8850	Benjamin John Ellem, PHD 2215 Fuller Rd, Ann Arbor, MI 48105-2303 Ph: (734) 769-7100

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Benjamin John Ellem, PHD - Psychologist in Ann Arbor, MI