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Eddie Ellis
Intellectual & Developmental Disabilities Psychologist in Fort Worth, Texas
NPI 1841400132

Eddie Ellis is a Intellectual & Developmental Disabilities Psychologist based in Fort Worth, TX and is specialized in Intellectual & Developmental Disabilities. Eddie Ellis practices in Fort Worth, TX. The NPI Number for Eddie Ellis is 1841400132 and holds a License No. (Texas).

The current practice location address for Eddie Ellis is 420 Tierney Rd, Fort Worth, TX and can be reached out via phone at 817-534-5480 and via fax at 817-534-4748.

Location: 420 Tierney Rd, Fort Worth, TX, 76112-6324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841400132
Provider Name
Eddie Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
420 Tierney Rd, Fort Worth, TX, 76112-6324
Phone Number
817-534-5480
Fax Number
817-534-4748
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
420 Tierney Rd
City
Fort Worth
State
Texas
Zip
76112-6324
Phone Number
817-534-5480
Fax Number
817-534-4748
person
Provider Business Mailing Address Details
Address
420 Tierney Rd
City
Fort Worth
State
Texas
Zip
76112-6324
Phone Number
817-534-5480
Fax Number
817-534-4748
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Adult Development & Aging
Taxonomy
103TA0700X
License No.
()
Definition
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
()
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).
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
()
Definition
Definition to come...
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