PHILIP LEE ELLIS

GRAND RAPIDS, MI
NPI1073549911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MI  6301005230)
Enumeration Date2006-06-23
Last Update Date2017-09-19
Business Address
-- PHILIP LEE ELLIS Ph.D.
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
Mailing Address
-- PHILIP LEE ELLIS Ph.D.
125 S PARK ST STE 325
TRAVERSE CITY, MI 49684-3608
Phone number: 231-715-8466