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Dr. John Leonard Ellis, PHD
Health Service Psychologist in Lenoir, North Carolina
NPI 1407495617

John Leonard Ellis is a Health Service Psychologist based in Lenoir, NC and is specialized in Health Service. John Leonard Ellis practices in Lenoir, NC and has the professional credentials of PHD. The NPI Number for John Leonard Ellis is 1407495617 and holds a License No. 1458 (North Carolina).

The current practice location address for John Leonard Ellis is 4439 Walnut Ridge Rd, Lenoir, NC and can be reached out via phone at 980-288-2145.

Location: 4439 Walnut Ridge Rd, Lenoir, NC, 28645-3989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407495617
Provider Name
John Leonard Ellis
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
4439 Walnut Ridge Rd, Lenoir, NC, 28645-3989
Phone Number
980-288-2145
Fax Number
Provider Enumeration Date
01/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4439 Walnut Ridge Rd
City
Lenoir
State
North Carolina
Zip
28645-3989
Phone Number
980-288-2145
Fax Number
person
Provider Business Mailing Address Details
Address
4439 Walnut Ridge Rd
City
Lenoir
State
North Carolina
Zip
28645-3989
Phone Number
980-288-2145
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
1458 (North Carolina)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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