Individual
HEIDI ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3465 NATIONAL DR STE 215, PLANO, TX 75025-1095
(678) 902-4522
Mailing address
3465 NATIONAL DR STE 215, PLANO, TX 75025-1095
(678) 902-4522
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
103TF0000X
Family Psychologist
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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