Individual
DR. MESHA LYGIA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2255 CUMBERLAND PARKWAY 500-140, ATLANTA, GA 30339-4524
(678) 538-6450
(404) 478-8413
Mailing address
2255 CUMBERLAND PARKWAY 500-140, ATLANTA, GA 30339-4524
(678) 538-6450
(404) 478-8413
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 20263
CA
103TC0700X
Clinical Psychologist
Primary
PSY003274
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY003274
GA
Other
Enumeration date
05/31/2006
Last updated
04/26/2020
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