Individual provider · Type 1 NPI

Diane Marlene Ellis, PSY.D., LP

Clinical Psychologist · Springfield, MO

NPI number 1770527426 Active

Practice location

323 E Grand St
Springfield, MO 65807-1447

Mailing address

1300 E Bradford Pkwy
Springfield, MO 65804-4264

Other practice locations

  • 1300 E Bradford Pkwy, Springfield, MO 65804-4264 · (417) 761-5600

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X2007033885 (MO)

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 1770527426

Diane Marlene Ellis, PSY.D., LP's National Provider Identifier is 1770527426, issued on Jun 15, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Springfield, MO. The record was last updated on Sep 28, 2021.