Geertina H Ellis, HSP-PA, LPA
NPI #1629008313 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1629008313
- Entity Type
- Individual
- Name
- Geertina H Ellis, HSP-PA, LPA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- HSP-PA, LPA
- Enumeration Date
- Jul 5, 2006
- Last Updated
- Apr 15, 2020
Practice Location
- Address
- 5242 SUNDOWN DR
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28303-3287
- Phone
- (910) 670-9689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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