Search › Virginia › Clinical Child & Adolescent Psychologist
Mary Ellis, JD,PSYD
NPI 1972813467 · on the registry since 2010
Practice
- Address
- 133 Park St Ne
Vienna, VA 22180 - Phone
- (703) 281-2657
- Fax
- (703) 242-0014
- Organisation at this address
- The Collaborative Good, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 45
Registry record
- Primary taxonomy
- Clinical Child & Adolescent Psychologist
103TC2200X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-10-18
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 Virginia