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Individual

DR. MICHAEL S ELLWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
9202 CENTER OAK CT, MECHANICSVILLE, VA 23116-2744
(804) 730-0432
Mailing address
9202 CENTER OAK CT, STE 219, MECHANICSVILLE, VA 23116-2525
(804) 730-0432

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810001914
VA
103TC0700X
Clinical Psychologist
Primary
0810001914
VA
103TC2200X
Clinical Child & Adolescent Psychologist
08100001914
VA
103TR0400X
Rehabilitation Psychologist
0810001914
VA

Other

Enumeration date
06/02/2006
Last updated
05/30/2025
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