DIANE MARLENE ELLIS

SPRINGFIELD, MO
NPI1770527426
Former NameDIANE MARLENE BAILEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: MO  2007033885)
Enumeration Date2006-06-15
Last Update Date2021-09-28
Business Address
DR. DIANE MARLENE ELLIS PSY.D., LP
323 E GRAND ST
SPRINGFIELD, MO 65807-1447
Phone number: 417-761-5600
Mailing Address
DR. DIANE MARLENE ELLIS PSY.D., LP
1300 E BRADFORD PKWY
SPRINGFIELD, MO 65804-4264
Phone number: 417-761-5000
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