Stephanie Leedy-Ellis, Ph.D., Llc in Norcross - Psychologist
Stephanie Leedy-Ellis, Ph.D., Llc - NPI 1962617183
Stephanie Leedy-Ellis, Ph.D., Llc is a Psychologist in Norcross, Georgia. Stephanie Leedy-Ellis, Ph.D., Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Stephanie Leedy-Ellis, Ph.D., Llc is 1962617183. The last update date is 2011-08-12.
Stephanie Leedy-Ellis, Ph.D., Llc's current location address is 3949 Holcomb Bridge Rd, Norcross, Georgia. You can contact this provider via phone number 4042313364 and fax number 7708137446. The mailing address for Stephanie Leedy-Ellis, Ph.D., Llc is 3949 Holcomb Bridge Rd, Norcross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stephanie Leedy-Ellis, Ph.D., Llc |
|---|---|
| Address | 3949 Holcomb Bridge Rd, Norcross, Georgia |
| Phone Number | 4042313364 |
| Fax Number | 7708137446 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Leedy-Ellis Stephanie |
| Credentials | PH.D. |
| Telephone Number | 4042313364 |
NPI Number Detail
| NPI Number | 1962617183 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2011-08-12 |
Provider Mailing Address Detail
| Address | 3949 Holcomb Bridge Rd |
|---|---|
| City | Norcross |
| State | Georgia (GA) |
| Post Code | 300922207 |
| Phone Number | 4042313364 |
| Fax Number | 7708137446 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1688 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1447346101 | GA | INDIVIDUAL PROVIDER NPI |
Post Comment/ Review Below
What is the unique identifier code issued to Stephanie Leedy-Ellis, Ph.D., Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Stephanie Leedy-Ellis, Ph.D., Llc has been assigned the NPI (National Provider Identifier) 1962617183. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Stephanie Leedy-Ellis, Ph.D., Llc's facilities are geographically located?
The facilities of Stephanie Leedy-Ellis, Ph.D., Llc are physically situated at the following location: 3949 Holcomb Bridge Rd, Norcross, GA, 300922207.
What is the area of specialization for Stephanie Leedy-Ellis, Ph.D., Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephanie Leedy-Ellis, Ph.D., Llc is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962617183 to Stephanie Leedy-Ellis, Ph.D., Llc?
The Centers for Medicare & Medicaid Services assigned the 1962617183 to Stephanie Leedy-Ellis, Ph.D., Llc on 2007-05-11.
When was the information regarding Stephanie Leedy-Ellis, Ph.D., Llc most recently updated?
The details pertaining to the Stephanie Leedy-Ellis, Ph.D., Llc, including its address, specialty, and other relevant information, were last refreshed on 2011-08-12.