National Provider Identifier
Robert Ellis
Robert Ellis is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Jamestown, NY and a listed phone number of (716) 661-1541.
Profile Overview
- NPI
- 1215903208
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- February 28, 2006
- Last Updated
- July 08, 2007
Practice Location
- 75 Jones And Gifford Ave
- Jamestown, NY 14701-2828
Phone: (716) 661-1541
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1215903208
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- Robert
- Mailing Street Address
- 75 Jones And Gifford Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-2828
- Mailing Country
- US
- Mailing Phone
- (716) 661-1541
- Practice Street Address
- 75 Jones And Gifford Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-2828
- Practice Country
- US
- Practice Phone
- (716) 661-1541
- Enumeration Date
- February 28, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)