National Provider Identifier Database

MICHELLE A ELLIS, PHD – NPI #1750482253
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

MICHELLE A ELLIS, PHD
639 E SPEEDWAY
TUCSON, AZ85705
Phone: 520-425-3456
Fax: 520-319-9712
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Clinical Child & Adolescent 103TC2200X
Psychologist 103T00000X
School 103TS0200X

* Indicates primary specialty

NPI Profile & details for MICHELLE A ELLIS

NPI Number 1750482253
Credentials PHD
Entity Individual
Enumeration date 09/26/2006
Last updated 10/27/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • AZ License #: 1319
  • AZ License #: AZ1319
  • AZ Medicaid: 428799
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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