Carl Richard Ellis ED.D.

NPI 1821173519 - Psychologist - 103TC2200X

NPI Details
NPI 1821173519
Gender Male
Enumeration Date 10/25/2006
Last Updated 06/12/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
4101 GRANBY ST STE 301
NORFOLK VA, 23504-1117, US
Phone (757) 640-1882
Fax (757) 640-0253
Business Location
4101 GRANBY ST
SUITE 301
NORFOLK VA, 23504-1117, US
Phone (757) 640-1882
Fax (757) 640-0253
Toxanomy
Taxonomy Code 103TC2200X
License State Virginia
License Number 0810001913
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According to our database, Dr. Carl Richard Ellis ED.D. NPI is 1821173519, taxonomy code is 103TC2200X and license number is 0810001913, license state is located at Virginia. Carl Richard Ellis ED.D. physically located at 4101 Granby St Ste 301, Norfolk VA, 23504-1117. NPI Number Carl Richard Ellis ED.D. has the Individual type.

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1821173519 NPI number is provided on an as is basis without warranty of any kind. 1821173519 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Richard Ellis ED.D. are for informational purposes only.