Individual provider · Type 1 NPI
Jacqueline A. Ellis, PhD
Psychologist · Columbia, MO
Practice location
204 Austin Ave
Columbia, MO 65203-4078
Fax (573) 875-1431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PY00548 (MO) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1992821730
Jacqueline A. Ellis, PhD's National Provider Identifier is 1992821730, issued on Mar 22, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Columbia, MO. The record was last updated on Jul 9, 2007.