SearchMassachusetts171100000X

Candice Ellis, LIC. AC DIPLOMATE N

NPI 1821156001 · on the registry since 2006

Practice

Address
181 Elliott St
100 Cummings Center #321j
Beverly, MA 01915
Phone
(978) 969-0252
Fax
(978) 969-0356

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-11-09

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 Massachusetts