Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDDIE ELLIS
Active Sole ProprietorAdult Development & Aging Psychologist · FORT WORTH, TX
Registration Details
- NPI Number
- 1841400132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (18.913091859518 yrs)
- Last Updated
- Sep 11, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
420 TIERNEY RDFORT WORTH, TX, 761126324Browse TX providers · Browse ZIP 76112
- Phone
- 8175345480
- Fax
- 8175344748
- Primary Specialty
-
Adult Development & Aging Psychologist
103TA0700X
- Additional Specialty
- Adult Development & Aging Psychologist
- Additional Specialty
- Health Service Psychologist
- Additional Specialty
- Organizational & Business Psychologist
Other Adult Development & Aging Psychologist Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| DORIS GAIL BENJAMIN | — | 1376754366 |
| MS. ASHLEY C BOYLAN | — | 1821649419 |
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.