Organization
ELLIS EVALUATION SERVICES, LLC
Active
Other names
Ellis Evaluation & Consulting Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MESHA L. ELLIS PHD (OWNER/PSYCHOLOGIST)
(678) 538-6450
Entity
Organization
Contact information
Practice address
2255 CUMBERLAND PKWY SE BLDG 500-140, ATLANTA, GA 30339-4524
(678) 538-6450
Mailing address
2255 CUMBERLAND PKWY SE BLDG 500-140, ATLANTA, GA 30339-4524
(678) 538-6450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003274
GA
Other
Enumeration date
06/15/2013
Last updated
06/15/2013
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