John Paul Ellis is a Psychologist in St Paul, Minnesota. John Paul Ellis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John Paul Ellis is 1962619031. The last update date is 2007-07-08.
John Paul Ellis's current location address is 1108 Grand Avenue, St Paul, Minnesota. You can contact this provider via phone number 6512280218. The mailing address for John Paul Ellis is 1108 Grand Avenue, St Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Paul Ellis |
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Address | 1108 Grand Avenue, St Paul, Minnesota |
Phone Number | 6512280218 |
Fax Number | |
Sole Proprietor | N |
Credentials | PHD |
NPI Number Detail
NPI Number | 1962619031 |
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Provider Enumeration Date | 2007-05-17 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1108 Grand Avenue |
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City | St Paul |
State | Minnesota (MN) |
Post Code | 551052614 |
Phone Number | 6512280218 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | LP1642 |
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 identification code assigned to John Paul Ellis by the Centers for Medicare & Medicaid Services?
The John Paul Ellis has been issued the NPI (National Provider Identifier) 1962619031. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Paul Ellis's physical address?
The John Paul Ellis is physically located at 1108 Grand Avenue, in the city of St Paul, MN, with the postal code 551052614.
What is John Paul Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Paul 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 Centers for Medicare & Medicaid Services assign the 1962619031 to John Paul Ellis?
The Centers for Medicare & Medicaid Services assigned the 1962619031 to John Paul Ellis on 2007-05-17.
When was the John Paul Ellis's information last updated?
The John Paul Ellis's information was last updated on 2007-07-08.
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