GLENN THOMAS ELLIS

COLUMBUS, MS
NPI1184712820
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MS  105)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
Dr. GLENN THOMAS ELLIS PhD
815 2ND AVE NO
COLUMBUS, MS 39701
Phone number: 662-327-7388
Mailing Address
Dr. GLENN THOMAS ELLIS PhD
815 2ND AVE NORTH
COLUMBUS, MS 39701
Phone number: 662-327-7388