EDDIE ELLIS
Psychologist - Adult Development & Aging
Active
Individual
NPI: 1841400132
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | No | - |
| Psychologist - Adult Development & Aging | 103TA0700X | Yes | - |
| Psychologist - Health Service | 103TH0100X | No | - |
| Psychologist - Intellectual & Developmental Disabilities | 103TM1800X | No | - |
Frequently Asked Questions
NPI 1841400132 is the National Provider Identifier for EDDIE ELLIS, a Psychologist - Adult Development & Aging provider located in Fort Worth, TX. This NPI was enumerated on May 23, 2007.
EDDIE ELLIS practices at 420 TIERNEY RD, Fort Worth, TX 76112.
Quick Facts
- NPI
- 1841400132
- Type
- Individual
- Enumerated
- May 23, 2007
- Last Updated
- Sep 11, 2025
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