Kenneth J Ellis is a Clinical in Marysville, Washington. Kenneth J Ellis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth J Ellis is 1417973850. The last update date is 2016-02-12.
Kenneth J Ellis's current location address is 1106 Columbia Ave, Marysville, Washington. You can contact this provider via phone number 3606530374 and fax number 3606580219. The mailing address for Kenneth J Ellis is 1106 Columbia Ave, Marysville, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth J Ellis |
|---|---|
| Address | 1106 Columbia Ave, Marysville, Washington |
| Phone Number | 3606530374 |
| Fax Number | 3606580219 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1417973850 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2016-02-12 |
Provider Mailing Address Detail
| Address | 1106 Columbia Ave |
|---|---|
| City | Marysville |
| State | Washington (WA) |
| Post Code | 982704335 |
| Phone Number | 3606530374 |
| Fax Number | 3606580219 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY00003392 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth J Ellis by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth J Ellis has been assigned the NPI (National Provider Identifier) 1417973850. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Kenneth J Ellis?
The Kenneth J Ellis is situated at 1106 Columbia Ave, in the city of Marysville, state of WA, with the zip code 982704335.
What is Kenneth J Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth J Ellis's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1417973850 assigned to Kenneth J Ellis?
The Kenneth J Ellis was issued its 1417973850 on 2006-07-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kenneth J Ellis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth J Ellis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-12.