Individual provider · Type 1 NPI
John Leonard Ellis, PhD
Health Service Psychologist · Lenoir, NC
Practice location
4439 Walnut Ridge Rd
Lenoir, NC 28645-3989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 1458 (NC) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
About NPI 1407495617
John Leonard Ellis, PhD's National Provider Identifier is 1407495617, issued on Jan 6, 2020. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Lenoir, NC. The record was last updated on Jan 6, 2020.