Susan G Ellis is a Clinical in Largo, Florida. Susan G Ellis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan G Ellis is 1578633350. The last update date is 2007-07-08.
Susan G Ellis's current location address is 3233 E Bay Dr, Largo, Florida. You can contact this provider via phone number 7275362200 and fax number 7275315088. The mailing address for Susan G Ellis is 3233 E Bay Dr, Largo, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan G Ellis |
|---|---|
| Address | 3233 E Bay Dr, Largo, Florida |
| Phone Number | 7275362200 |
| Fax Number | 7275315088 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1578633350 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3233 E Bay Dr |
|---|---|
| City | Largo |
| State | Florida (FL) |
| Post Code | 337711900 |
| Phone Number | 7275362200 |
| Fax Number | 7275315088 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY2173 |
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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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What is the unique 10-digit identifier code issued to Susan G Ellis by the Centers for Medicare & Medicaid Services?
The Susan G Ellis has been assigned the NPI (National Provider Identifier) 1578633350 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Susan G Ellis is geographically located?
The Susan G Ellis is physically situated at the following location: 3233 E Bay Dr, Largo, FL, 337711900.
What is the Susan G Ellis's area of specialization and corresponding taxonomy classification?
The Susan G Ellis's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When did Susan G Ellis receive its 1578633350 assignment?
The Susan G Ellis was assigned its 1578633350 on 2006-11-08, which is the date when this unique identifier was issued to the organization.
When was the information regarding Susan G Ellis most recently updated?
The details pertaining to the Susan G Ellis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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