Individual provider · Type 1 NPI

John Leonard Ellis, PhD

Health Service Psychologist · Lenoir, NC

NPI number 1407495617 Active

Practice location

4439 Walnut Ridge Rd
Lenoir, NC 28645-3989

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X1458 (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.