Dr James Stephen Ellis, PHD | |
1701 White St, Mccomb, MS 39648-2711 | |
(601) 684-2173 | |
(601) 249-4234 |
Full Name | Dr James Stephen Ellis |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 1701 White St, Mccomb, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437183308 | NPI | - | NPPES |
0124731 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 30428 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr James Stephen Ellis, PHD 1701 White St, Mccomb, MS 39648-2711 Ph: (601) 684-2173 | Dr James Stephen Ellis, PHD 1701 White St, Mccomb, MS 39648-2711 Ph: (601) 684-2173 |
Jay Thames Moak, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-684-2173 Fax: 601-249-4234 | |
Tonna Gaines, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-249-4217 Fax: 601-249-4234 | |
Heidi L Vine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 White St, Mccomb, MS 39648 Phone: 601-684-2173 Fax: 601-249-4234 |