Individual
DR. DAVID T. ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
211 HUNTER PARK, LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES, PRINCETON, WV 24740
(304) 487-6121
(304) 487-8741
Mailing address
211 HUNTER PARK, LAUREL RIDGE PSYCHOLOGICAL ASSOCIATES, PRINCETON, WV 24740
(304) 487-6121
(304) 487-8741
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
988
WV
103TF0200X
Forensic Psychologist
988
WV
Other
Enumeration date
11/18/2009
Last updated
09/16/2013
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