Amy Ellis is a Clinical in San Diego, California. Amy Ellis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Amy Ellis is 1912038696. The last update date is 2007-07-08.
Amy Ellis's current location address is 3754 Clairemont Dr, San Diego, California. You can contact this provider via phone number 6195044246 and fax number 8584833567. The mailing address for Amy Ellis is 3754 Clairemont Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Ellis |
|---|---|
| Address | 3754 Clairemont Dr, San Diego, California |
| Phone Number | 6195044246 |
| Fax Number | 8584833567 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1912038696 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3754 Clairemont Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921175916 |
| Phone Number | 6195044246 |
| Fax Number | 8584833567 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 15846 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Amy Ellis by the Centers for Medicare & Medicaid Services?
The Amy Ellis has been assigned the NPI (National Provider Identifier) 1912038696 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Amy Ellis is located?
The Amy Ellis is situated at the following address: 3754 Clairemont Dr, San Diego, CA, 921175916.
What is Amy Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amy Ellis's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912038696 to Amy Ellis?
The Centers for Medicare & Medicaid Services assigned the 1912038696 to Amy Ellis on 2007-03-07.
When was the information related to Amy Ellis most recently updated or refreshed?
The details pertaining to the Amy Ellis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.