Ellis, Mavonna Marie
Ellis, Mavonna Marie is an individual health care provider with primary practice located at 1616 S August St , Stillwater OK 74074-1837. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ellis, Mavonna Marie can be contacted via phone (405) 564-0656.Contact Information
Primary practice address
1616 S August St
Stillwater OK 74074-1837
Phone: (405) 564-0656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3974 | Oklahoma |
Profile Details
| NPI number | 1124064233 |
|---|---|
| LBN Legal business name | Ellis, Mavonna Marie |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Oct 15th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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