Individual
DR. DONOVAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 941-5381
Mailing address
9104 BRIXWORTH PL NE, BROOKHAVEN, GA 30319-5336
(813) 347-6362
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004807
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/18/2021
Last updated
08/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us