Individual
ROBIN I ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-5433
Mailing address
4025 SCOTCH PINE DR, COLORADO SPRINGS, CO 80920-4517
(818) 730-8491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY18829
CA
103TC0700X
Clinical Psychologist
PSY18829
CA
Other
Enumeration date
07/29/2006
Last updated
08/08/2023
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