IndividualActive
John Ellis, PH.D.
NPI 1407495617 · Health Service Psychologist · Lenoir, NC
Provider details
- NPI number
- 1407495617
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1458 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4439 Walnut Ridge Rd
Lenoir, NC 28645-3989
Phone: (980) 288-2145
Approximate (ZIP-level) locationGet directions
Mailing address
4439 Walnut Ridge Rd
Lenoir, NC 28645-3989
Registry dates
- Enumerated
- 2020-01-06
- Last updated
- 2020-01-06
- Certified
- 2020-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.