Search › Mississippi › 103T00000X
Glenn Ellis, PHD
NPI 1184712820 · on the registry since 2006
Practice
- Address
- 815 2nd Ave No
Columbus, MS 39701 - Phone
- (662) 327-7388
- Fax
- (662) 329-1177
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi