DR. Glenn Thomas Ellis, PHD
NPI #1184712820 in Columbus, Mississippi
Provider Information
- NPI Number
- 1184712820
- Entity Type
- Individual
- Name
- DR. Glenn Thomas Ellis, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PHD
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 815 2ND AVE NO
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39701
- Phone
- (662) 327-7388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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