Tierra T. Ellis
Rehabilitation Counselor School Psychologist
1819 San Ardo St
Torrance
, California 90501
Tierra T. Ellis
Rehabilitation Counselor School Psychologist
1819 San Ardo St
Torrance
, California 90501
(323) 432-0389
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About
Features
Specialties
- School Psychologist
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Tierra T. Ellis
- 3705 W Pico Blvd # 835
- Los Angeles, CA
- Zip : 90019-3451
- Phone : (323) 432-0389
Second Address
- Tierra T. Ellis
- 1819 San Ardo St
- Torrance, CA
- Zip : 90501
- Phone : (323) 432-0389
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | ||
| N | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1013269976 |
|---|---|
| Provider Name | Tierra T. Ellis |
| First Address | Los Angeles, CA 90019-3451 |
| Second Address | Torrance, CA 90501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2012 |
| Last Update Date | 24/05/2021 |
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.