Grant J Ellis
NPI #1346052966 in West Terre Haute, Indiana
Provider Information
- NPI Number
- 1346052966
- Entity Type
- Individual
- Name
- Grant J Ellis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 21, 2025
- Last Updated
- Jan 21, 2025
Practice Location
- Address
- 10 N CHURCH ST
- City
- West Terre Haute
- State
- Indiana
- ZIP Code
- 47885-1202
- Phone
- (812) 201-5763
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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