Individual
JEFFREY HUGH ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3050 RIVERWOOD PKWY STE B, GASTONIA, NC 28056-6002
(704) 874-9005
(704) 874-9001
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 867-2134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4890
NC
Other
Enumeration date
08/05/2011
Last updated
11/11/2025
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