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Jon B Ellis, PHD
Clinical Psychologist in Johnson City, Tennessee
NPI 1346385978

Jon B Ellis is a Clinical Psychologist based in Johnson City, TN and is specialized in Clinical. Jon B Ellis practices in Johnson City, TN and has the professional credentials of PHD. The NPI Number for Jon B Ellis is 1346385978 and holds a License No. P1437 (Tennessee).

The current practice location address for Jon B Ellis is 206 Princeton Rd, Johnson City, TN and can be reached out via phone at 423-282-8182 and via fax at 423-283-0031.

Location: 206 Princeton Rd, Johnson City, TN, 37601-2058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346385978
Provider Name
Jon B Ellis
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
206 Princeton Rd, Johnson City, TN, 37601-2058
Phone Number
423-282-8182
Fax Number
423-283-0031
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4019151 01 TN BCBS NUMBER
3689850 05 TN
institution
Provider Business Practice Location Address Details
Address
206 Princeton Rd
City
Johnson City
State
Tennessee
Zip
37601-2058
Phone Number
423-282-8182
Fax Number
423-283-0031
person
Provider Business Mailing Address Details
Address
206 Princeton Rd
City
Johnson City
State
Tennessee
Zip
37601-2058
Phone Number
423-282-8182
Fax Number
423-283-0031
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
P1437 (Tennessee)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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