Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARL RICHARD ELLIS, ED.D.
Active Sole ProprietorDR. CARL RICHARD ELLIS, ED.D. is a Child, Clinical Psychologist healthcare provider located in NORFOLK, Virginia. NPI 1821173519 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · NORFOLK, VA
Registration Details
- NPI Number
- 1821173519
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.614170265762 yrs)
- Last Updated
- Jun 12, 2008
- License
-
0810001913 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4101 GRANBY ST STE 301NORFOLK, VA, 235041117Browse VA providers · Browse ZIP 23504
- Phone
- 7576401882
- Fax
- 7576400253
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Other Child, Clinical Psychologist Providers in NORFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| RACHEL ASTER GRACE | — | 1548128309 |
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.