DR. Adrienne Benita Ellis, PSY.D.

NPI #1104153345 in Clinton, Maryland

Provider Information

NPI Number: 1104153345
Entity Type: Individual
Name: DR. Adrienne Benita Ellis, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: PSY.D.
Enumeration Date: Nov 9, 2009
Last Updated: Nov 9, 2009

Practice Location

Address: 7801 OLD BRANCH AVE
Address 2: SUITE 212
City: Clinton
State: Maryland
ZIP Code: 20735-1608
Phone: (301) 856-8516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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