Individual
CATHERINE L ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
(615) 279-6700
Mailing address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
(615) 279-6700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
33005185A
IN
1041C0700X
Clinical Social Worker
7189
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
03/16/2007
Last updated
02/07/2020
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