Individual
BELINDA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 TARPON PL, NORFOLK, VA 23518-3322
(757) 319-1883
Mailing address
7900 TARPON PL, NORFOLK, VA 23518-3322
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000040
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0813000040
LIMITED SCHOOL PSYCHOLOGIST
VA
Enumeration date
04/10/2018
Last updated
04/10/2018
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