Leslie Elaine Ellis, PHD - Psychologist in Dalton, GA

Leslie Elaine Ellis, PHD is a Psychologist - Clinical based in Dalton, Georgia. Leslie Elaine Ellis is licensed to practice in Georgia (license number GA3273) and her current practice location is 2005 Eagle Point Dr, Dalton, Georgia. She can be reached at her office (for appointments etc.) via phone at (727) 365-8577.

NPI number for Leslie Elaine Ellis is 1730346792 and her current mailing address is 2005 Eagle Point Dr, Dalton, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730346792.

Contact Information

Leslie Elaine Ellis, PHD
2005 Eagle Point Dr,
Dalton, GA 30720-4941
(727) 365-8577
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLeslie Elaine Ellis
GenderFemale
SpecialityPsychologist - Clinical
Location2005 Eagle Point Dr, Dalton, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730346792
  • Provider Enumeration Date: 05/19/2008
  • Last Update Date: 04/24/2026

Medical Identifiers

Medical identifiers for Leslie Elaine Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730346792NPI-NPPES
Z130QOtherFLBCBSF
497958107CMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical GA3273 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leslie Elaine Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leslie Elaine Ellis, PHD
2005 Eagle Point Dr,
Dalton, GA 30720-4941

Ph: (727) 365-8577
Leslie Elaine Ellis, PHD
2005 Eagle Point Dr,
Dalton, GA 30720-4941

Ph: (727) 365-8577

Reviews and Comments


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