Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacqueline A Ellis, PHD

Individual provider Psychologist · NPI 1992821730

Dr. Jacqueline A Ellis, PHD is a Psychologist in Columbia, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

204 Austin Ave
Columbia, MO 65203-4078
Phone: (573) 875-1718
Fax: (573) 875-1431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY00548 (MO)

Record details

NPI number1992821730
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 22, 2007
Last updated in NPPESJuly 9, 2007

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