Individual
SHIRLEY ANN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD ABPP
Contact information
Practice address
340 HULSE RD, PENSACOLA, FL 32508-1089
(850) 452-2783
Mailing address
340 HULSE RD, PENSACOLA, FL 32508-1089
(850) 452-2783
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5728
FL
Other
Enumeration date
12/05/2006
Last updated
01/26/2016
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