Individual
COURTNEY JEAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 KING ST STE 2, NORTHAMPTON, MA 01060-2364
(413) 727-8552
Mailing address
228 KING ST STE 2, NORTHAMPTON, MA 01060-2364
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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