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Individual

DR. PHILLIP SCOTT ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
417 BILTMORE AVE, SUITE 5D, ASHEVILLE, NC 28801-4501
(828) 281-2299
(828) 281-2299
Mailing address
417 BILTMORE AVE, SUITE 5D, ASHEVILLE, NC 28801-4501
(828) 281-2299
(828) 281-2299

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2276
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6000176
NC
Enumeration date
11/19/2007
Last updated
03/26/2014
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