Earl Edward Ellis, M.ED., LPA

NPI #1013111459 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1013111459
Entity Type: Individual
Name: Earl Edward Ellis, M.ED., LPA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: M.ED., LPA
Enumeration Date: Jun 11, 2007
Last Updated: Aug 29, 2013

Practice Location

Address: 890 RINEYVILLE RD
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-8927
Phone: (270) 234-9236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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Organizations

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