Dr. Adrienne Benita Ellis, Psy.D.
Counselor, Professional in Clinton, MD. Individual provider (NPI-1).
NPI number1104153345
StatusActive
Last updated in NPPESNov 9, 2009
Details
- NPI
- 1104153345
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adrienne Benita Ellis
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2009
- Last updated
- Nov 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC3283 | MD | Yes |
Practice location
7801 Old Branch AveSuite 212
Clinton, MD 20735-1608
Phone 301-856-8516
Mailing address
10805 Slippery Elm CtClinton, MD 20735-4097
Phone 301-894-7421
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