Philip Lee Ellis in Grand Rapids - Psychologist
Philip Lee Ellis - NPI 1073549911
Philip Lee Ellis is a Psychologist in Grand Rapids, Michigan. Philip Lee Ellis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Philip Lee Ellis is 1073549911. The last update date is 2017-09-19.
Philip Lee Ellis's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164555000. The mailing address for Philip Lee Ellis is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Lee Ellis |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6164555000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1073549911 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2017-09-19 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6164555000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301005230 |
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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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What is the unique 10-digit identifier code issued to Philip Lee Ellis by the Centers for Medicare & Medicaid Services?
The Philip Lee Ellis has been assigned the NPI (National Provider Identifier) 1073549911 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Philip Lee Ellis's physical address?
The Philip Lee Ellis is physically located at 300 68Th St Se, in the city of Grand Rapids, MI, with the postal code 495486927.
What is Philip Lee Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Philip Lee Ellis's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Philip Lee Ellis receive its 1073549911 assignment from the Centers for Medicare & Medicaid Services?
The Philip Lee Ellis was assigned its 1073549911 by the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the information related to Philip Lee Ellis most recently updated or refreshed?
The details pertaining to the Philip Lee Ellis, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-09-19.