Search › Missouri › 103TC0700X
Diane Ellis, PSY.D., LP
NPI 1770527426 · on the registry since 2006
Practice
- Address
- 323 E Grand St
Springfield, MO 65807 - Phone
- (417) 761-5600
- Organisation at this address
- Burrell, Inc.
Advocates For A Healthy Community, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 1300 E Bradford Pkwy, Springfield, MO
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-28
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 Missouri