Individual
MARY ANN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SS830
FL
103TS0200X
School Psychologist
Primary
SS 830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639229362
—
FL
Enumeration date
09/02/2010
Last updated
04/08/2020
Update your record
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