Kelly Ann Ellis LCSW, PPS

NPI 1073548186 - Psychologist - 103T00000X

NPI Details
NPI 1073548186
Gender Female
Enumeration Date 07/11/2006
Last Updated 08/30/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
42900 BOB HOPE DR STE 104
RANCHO MIRAGE CA, 92270-7136, US
Phone (760) 346-0606
Fax (760) 300-4060
Business Location
PO BOX 2805
RANCHO MIRAGE CA, 92270-2805, US
Phone (760) 346-0606
Taxonomy Code 103T00000X
License State California
License Number PPS 040226067
Remove 1073548186 NPI Number

According to our database, Kelly Ann Ellis LCSW, PPS NPI is 1073548186, taxonomy code is 103T00000X and license number is PPS 040226067, license state is located at California. Kelly Ann Ellis LCSW, PPS physically located at 42900 Bob Hope Dr Ste 104, Rancho Mirage CA, 92270-7136. NPI Number Kelly Ann Ellis LCSW, PPS has the Individual type.

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1073548186 NPI number is provided on an as is basis without warranty of any kind. 1073548186 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Ann Ellis LCSW, PPS are for informational purposes only.