Priscilla Ellis PH.D.

NPI 1225180573 - Psychologist - 103TC0700X

NPI Details
NPI 1225180573
Gender Female
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1121 WASHINGTON ST
SUITE 4
NEWTON MA, 02465-2149, US
Phone (617) 969-2500
Fax
Business Location
16 OLMSTEAD ST
JAMAICA PLAIN MA, 02130-2910, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Massachusetts
License Number 2133
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According to our database, Priscilla Ellis PH.D. NPI is 1225180573, taxonomy code is 103TC0700X and license number is 2133, license state is located at Massachusetts. Priscilla Ellis PH.D. physically located at 1121 Washington St, Newton MA, 02465-2149. NPI Number Priscilla Ellis PH.D. has the Individual type.

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1225180573 NPI number is provided on an as is basis without warranty of any kind. 1225180573 is maintained by the National Plan & Provider Enumeration System. The contents of Priscilla Ellis PH.D. are for informational purposes only.