Dr. Deanna Renae Ellis-Chopin
Psychologist Intellectual & Developmental Disabilities Addiction Psychologist (Substance Use Disorder)
777 East Napier Avenue Pob 8776
Benton Harbor
, Michigan 49023-8776
Dr. Deanna Renae Ellis-Chopin
Psychologist Intellectual & Developmental Disabilities Addiction Psychologist (Substance Use Disorder)
777 East Napier Avenue Pob 8776
Benton Harbor
, Michigan 49023-8776
(269) 369-1753
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About
Features
Specialties
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Intellectual & Developmental Disabilities
Languages spoken
- English
Location
First Address
- Dr. Deanna Renae Ellis-Chopin
- 777 E Napier Ave Apt K6
- Benton Harbor, MI
- Zip : 49022-6136
- Phone : (269) 369-1753
Second Address
- Dr. Deanna Renae Ellis-Chopin
- 777 East Napier Avenue Pob 8776
- Benton Harbor, MI
- Zip : 49023-8776
- Phone : (269) 369-1753
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | ||
| Y | 103T00000X | Psychologist | ||
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| N | 103TM1800X | Intellectual & Developmental Disabilities | 6301010775 | MI |
National Provider Identifier
| NPI | 1013090679 |
|---|---|
| Provider Name | Dr. Deanna Renae Ellis-Chopin |
| First Address | Benton Harbor, MI 49022-6136 |
| Second Address | Benton Harbor, MI 49023-8776 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 20/02/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.