EDDIE ELLIS

FORT WORTH, TX
NPI1841400132
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TA0700X Psychologist, Adult Development & Aging
Additional Taxonomies101YM0800X Counselor, Mental Health
103TH0100X Psychologist, Health Service
103TM1800X Psychologist, Intellectual & Developmental Disabilities
Enumeration Date2007-05-23
Last Update Date2025-09-11
Business Address
-- EDDIE ELLIS
420 TIERNEY RD
FORT WORTH, TX 76112-6324
Phone number: 817-534-5480
Mailing Address
-- EDDIE ELLIS
420 TIERNEY RD
FORT WORTH, TX 76112-6324
Phone number: 817-534-5480