Jacqueline A Ellis in Columbia - Psychologist
Jacqueline A Ellis - NPI 1992821730
Jacqueline A Ellis is a Psychologist in Columbia, Missouri. Jacqueline A Ellis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jacqueline A Ellis is 1992821730. The last update date is 2007-07-09.
Jacqueline A Ellis's current location address is 204 Austin Ave, Columbia, Missouri. You can contact this provider via phone number 5738751718 and fax number 5738751431. The mailing address for Jacqueline A Ellis is 204 Austin Ave, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline A Ellis |
|---|---|
| Address | 204 Austin Ave, Columbia, Missouri |
| Phone Number | 5738751718 |
| Fax Number | 5738751431 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1992821730 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 204 Austin Ave |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652034078 |
| Phone Number | 5738751718 |
| Fax Number | 5738751431 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY00548 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Jacqueline A Ellis?
The Jacqueline A Ellis has been issued the NPI (National Provider Identifier) 1992821730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jacqueline A Ellis located?
The Jacqueline A Ellis is located at 204 Austin Ave, Columbia, MO 652034078.
What is Jacqueline A Ellis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jacqueline A Ellis is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did Jacqueline A Ellis receive its 1992821730 assignment from the Centers for Medicare & Medicaid Services?
The Jacqueline A Ellis was assigned its 1992821730 on 2007-03-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jacqueline A Ellis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jacqueline A Ellis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.