Individual
JANE MARY LOU ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 E WOODHAVEN LN, FRESNO, CA 93720-1283
(559) 708-6259
Mailing address
508 E WOODHAVEN LN, FRESNO, CA 93720-1283
(559) 708-6259
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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