EARL EDWARD ELLIS

ELIZABETHTOWN, KY
NPI1013111459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: KY  0952)
Enumeration Date2007-06-11
Last Update Date2013-08-29
Business Address
-- EARL EDWARD ELLIS M.Ed., LPA
890 RINEYVILLE RD
ELIZABETHTOWN, KY 42701-8927
Phone number: 270-234-9236
Mailing Address
-- EARL EDWARD ELLIS M.Ed., LPA
890 RINEYVILLE RD
ELIZABETHTOWN, KY 42701-8927
Phone number: 270-234-9236