DR. Deanna Renae Ellis-Chopin, PSYCHOLOGIST

NPI #1013090679 in Benton Harbor, Michigan

Provider Information

NPI Number: 1013090679
Entity Type: Individual
Name: DR. Deanna Renae Ellis-Chopin, PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Counseling
Credential: PSYCHOLOGIST
Enumeration Date: Oct 24, 2006
Last Updated: Aug 11, 2022

Practice Location

Address: 1800 PIPESTONE RD # 8776
City: Benton Harbor
State: Michigan
ZIP Code: 49022-2311
Phone: (269) 369-1753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X
Psychologist - Counseling — Counseling	103TC1900X	Primary

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