Eddie Ellis
NPI #1841400132 in Fort Worth, Texas
Provider Information
- NPI Number
- 1841400132
- Entity Type
- Individual
- Name
- Eddie Ellis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Adult Development & Aging
- Enumeration Date
- May 23, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 420 TIERNEY RD
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76112-6324
- Phone
- (817) 534-5480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Psychologist - Adult Development & Aging — Adult Development & Aging |
| Psychologist - Health Service — Health Service |
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
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