Ron Ray Ellis PH. D.

NPI 1063543247 - Psychologist - 103T00000X

NPI Details
NPI 1063543247
Gender Male
Enumeration Date 03/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1756 LACASSIE AVE
SUITE 200
WALNUT CREEK CA, 94596-7098, US
Phone (925) 943-5700
Fax
Business Location
2250 GLADWIN DR
WALNUT CREEK CA, 94596-6349, US
Phone (925) 947-2648
Fax
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY5702
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According to our database, Dr. Ron Ray Ellis PH. D. NPI is 1063543247, taxonomy code is 103T00000X and license number is PSY5702, license state is located at California. Ron Ray Ellis PH. D. physically located at 1756 Lacassie Ave, Walnut Creek CA, 94596-7098. NPI Number Ron Ray Ellis PH. D. has the Individual type.

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1063543247 NPI number is provided on an as is basis without warranty of any kind. 1063543247 is maintained by the National Plan & Provider Enumeration System. The contents of Ron Ray Ellis PH. D. are for informational purposes only.