Individual
ELLI COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W MARKET ST, GREENSBORO, NC 27403-1830
(336) 334-5662
Mailing address
2601 FERNWOOD DR, GREENSBORO, NC 27408-6105
(828) 989-8691
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6543
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2022
Last updated
05/03/2024
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