Organization · Type 2 NPI

Susan G. Ellis, Ph.d., P.a.

Clinical Psychologist · Largo, FL

NPI number 1801125869 Active

Practice location

3233 E Bay Dr, Suite 100
Largo, FL 33771-1900

Fax (727) 531-5088

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY2173 (FL)

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 1801125869

Susan G. Ellis, Ph.d., P.a.'s National Provider Identifier is 1801125869, issued on Dec 21, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Largo, FL. The record was last updated on Dec 21, 2009.