| Selena Ellis, M.d. | |
|
3000 Colby St Suite 101 Berkeley CA 94705-2083 | |
| (510) 644-2282 | |
| (510) 644-1744 |
| Full Name | Selena Ellis, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3000 Colby St, Berkeley, California |
| Authorized Official Name and Position | Selena W Ellis (DOCTOR) |
| Authorized Official Contact | 5106442282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selena Ellis, M.d. 3000 Colby St Suite 101 Berkeley CA 94705-2083 Ph: (510) 644-2282 | Selena Ellis, M.d. 3000 Colby St Suite 101 Berkeley CA 94705-2083 Ph: (510) 644-2282 |
| NPI Number | 1629443486 |
|---|---|
| Provider Enumeration Date | 12/04/2015 |
| Last Update Date | 12/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629443486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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