Search › Missouri › 103T00000X
Jacqueline Ellis, PHD
NPI 1992821730 · on the registry since 2007 · sole proprietor
Practice
- Address
- 204 Austin Ave
Columbia, MO 65203 - Phone
- (573) 875-1718
- Fax
- (573) 875-1431
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
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 Missouri