Geertina H Ellis in Fayetteville - Psychologist
Geertina H Ellis - NPI 1629008313
Geertina H Ellis is a Psychologist in Fayetteville, North Carolina. Geertina H Ellis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Geertina H Ellis is 1629008313. The last update date is 2020-04-15.
Geertina H Ellis's current location address is 5242 Sundown Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9106709689 and fax number 9104870703. The mailing address for Geertina H Ellis is 5242 Sundown Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Geertina H Ellis |
|---|---|
| Address | 5242 Sundown Dr, Fayetteville, North Carolina |
| Phone Number | 9106709689 |
| Fax Number | 9104870703 |
| Sole Proprietor | Y |
| Credentials | HSP-PA, LP |
NPI Number Detail
| NPI Number | 1629008313 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2020-04-15 |
Provider Mailing Address Detail
| Address | 5242 Sundown Dr |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 2830332870 |
| Phone Number | 9106709689 |
| Fax Number | 9104870703 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 2167 |
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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 |
|---|---|---|---|
| 84-1999514 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Geertina H Ellis?
The Geertina H Ellis has been issued the NPI (National Provider Identifier) 1629008313 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Geertina H Ellis is located?
The Geertina H Ellis is situated at the following address: 5242 Sundown Dr, Fayetteville, NC, 2830332870.
What is Geertina H Ellis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Geertina H Ellis's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629008313 to Geertina H Ellis?
The Centers for Medicare & Medicaid Services originally issued the 1629008313 to Geertina H Ellis on 2006-07-05.
When was the information related to Geertina H Ellis most recently updated or refreshed?
The details pertaining to the Geertina H Ellis, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-04-15.
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