Individual
DR. JOHN LEONARD ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4439 WALNUT RIDGE RD, LENOIR, NC 28645-3989
(980) 288-2145
Mailing address
4439 WALNUT RIDGE RD, LENOIR, NC 28645-3989
(980) 288-2145
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
1458
NC
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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