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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLENN THOMAS ELLIS, PHD

Active

DR. GLENN THOMAS ELLIS, PHD is a Psychologist healthcare provider located in COLUMBUS, Mississippi. NPI 1184712820 is currently active in the NPPES registry. Verify at CMS.

Psychologist · COLUMBUS, MS

Registration Details

NPI Number
1184712820
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2006 (19.845877018064 yrs)
Last Updated
Jul 8, 2007
License
105 (MS)

Practice Information

Address
815 2ND AVE NO
COLUMBUS, MS, 39701
Browse MS providers · Browse ZIP 39701
Phone
6623277388
Fax
6623291177
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in COLUMBUS, MS

Name Credential NPI
DR. RACHEL BADEN SHERRILL PH.D. 1619379740
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.