NPI 1013111459

Earl Edward Ellis, MEDLPA

Practitioner Psychologist Elizabethtown, KY

Practice location

Address: 890 Rineyville Rd, Elizabethtown, KY 42701-8927
Phone: (270) 234-9236
Fax: (270) 234-8367

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 0952 (KY)

Other Psychologist providers in Kentucky →

Registry record

NPI: 1013111459
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2007
Record last updated: 29 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.