Individual provider · Type 1 NPI
Donovan Ellis, PhD
Clinical Psychologist · Atlanta, GA
Practice location
12 Executive Park Dr NE
Atlanta, GA 30329-2206
Mailing address
9104 Brixworth Pl NE
Brookhaven, GA 30319-5336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Psychologist Primary | 103TC0700X | PSY004807 (GA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1124794243
Donovan Ellis, PhD's National Provider Identifier is 1124794243, issued on Aug 18, 2021. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Atlanta, GA. The record was last updated on Aug 26, 2024.