MR. ROBERT EARLE ELLIS LICSW NPI 1366461337

NPI Information

NPI: 1366461337
Provider Name: MR. ROBERT EARLE ELLIS, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
273 FRONT ST
WEYMOUTH, MA
ZIP 02188
Phone: (781) 812-0252
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MR. Robert Earle Ellis, LICSW is a mental health counselor in Weymouth, MA. MR. Robert Earle Ellis, LICSW NPI is 1366461337. 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:

273 FRONT ST
WEYMOUTH, MA
ZIP 02188-202
Phone: (781) 812-0252
Fax: (781) 812-0252

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/8/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1022916	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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