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Leslie Elaine Ellis, PHD
Clinical Psychologist in Lutz, Florida
NPI 1730346792

Leslie Elaine Ellis is a Clinical Psychologist based in Lutz, FL and is specialized in Clinical. Leslie Elaine Ellis practices in Lutz, FL and has the professional credentials of PHD. The NPI Number for Leslie Elaine Ellis is 1730346792 and holds a License No. PY7721 (Florida).

The current practice location address for Leslie Elaine Ellis is 207 Crystal Grove Blvd, Lutz, FL and can be reached out via phone at 813-964-9101 and via fax at 813-964-9141.

Location: 207 Crystal Grove Blvd, Lutz, FL, 33548-6452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730346792
Provider Name
Leslie Elaine Ellis
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
207 Crystal Grove Blvd, Lutz, FL, 33548-6452
Phone Number
813-964-9101
Fax Number
813-964-9141
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z130Q 01 FL BCBSF
institution
Provider Business Practice Location Address Details
Address
207 Crystal Grove Blvd
City
Lutz
State
Florida
Zip
33548-6452
Phone Number
813-964-9101
Fax Number
813-964-9141
person
Provider Business Mailing Address Details
Address
207 Crystal Grove Blvd
City
Lutz
State
Florida
Zip
33548-6452
Phone Number
813-964-9101
Fax Number
813-964-9141
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PY7721 (Florida)
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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