KEITH ELLIS NPI 1194166942

NPI Information

Keith Ellis is a counselor in Somerville, MA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Keith Ellis NPI is 1194166942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11 WARD ST
SOMERVILLE, MA
ZIP 02143-214
Phone: (617) 629-6790

The enumeration date for this NPI number is 7/9/2013 and was last updated on 7/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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