Earl Edward Ellis
Psychologist
890 Rineyville Rd
Elizabethtown
, Kentucky 42701-8927
Earl Edward Ellis
Psychologist
890 Rineyville Rd
Elizabethtown
, Kentucky 42701-8927
(270) 234-8367
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Earl Edward Ellis
- 890 Rineyville Rd
- Elizabethtown, KY
- Zip : 42701-8927
- Fax : (270) 234-8367
- Phone : (270) 234-9236
Second Address
- Earl Edward Ellis
- 890 Rineyville Rd
- Elizabethtown, KY
- Zip : 42701-8927
- Fax : (270) 234-8367
- Phone : (270) 234-9236
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 0952 | KY |
| Y | 103T00000X | Psychologist | 0952 | KY |
National Provider Identifier
| NPI | 1013111459 |
|---|---|
| Provider Name | Earl Edward Ellis |
| First Address | Elizabethtown, KY 42701-8927 |
| Second Address | Elizabethtown, KY 42701-8927 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2007 |
| Last Update Date | 29/08/2013 |
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.