MADDISEN T ELLISON Psychology Intern
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1710607510- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Psychology Intern
- Status
- Active
Contact & Location
- Address
- 4301 W MARKHAM ST, LITTLE ROCK, AR, 722057199
- Phone
- (501) 214-2499
Specialties & Taxonomies
Psychologist, Clinical
Primary License: AR #202327