Individual provider · Type 1 NPI
Nicquelette Ellison
Clinical Psychologist · Tyler, TX
Practice location
2830 W Grande Blvd Apt 3102
Tyler, TX 75703-3392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 40960 (TX) |
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 1912745472
Nicquelette Ellison's National Provider Identifier is 1912745472, issued on Jul 18, 2024. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Tyler, TX. The record was last updated on Oct 19, 2026.