Ellis, David T.

Ellis, David T. is an sole proprietor health care provider with primary practice located at 211 Hunter Park Laurel Ridge Psychological Associates, Princeton WV 24740. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ellis, David T. can be contacted via phone (304) 487-6121.

Contact Information

Primary practice address
211 Hunter Park Laurel Ridge Psychological Associates Princeton WV 24740
Phone: (304) 487-6121
Fax: (304) 487-8741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 988 West Virginia
Behavioral Health & Social Service Providers / Forensic 103TF0200X 988 West Virginia

Profile Details

NPI number 1093043754
LBN Legal business name Ellis, David T.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2009
Last updated Sep 16th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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