Individual
BRANDI MICHELLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
930 20TH ST S, BIRMINGHAM, AL 35205-2610
(205) 934-5471
Mailing address
1720 2ND AVENUE SOUTH, CH19 SUITE 307, BIRMINGHAM, AL 35294-2041
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2281
AL
Other
Enumeration date
07/09/2018
Last updated
11/04/2022
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