Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Geertina H Ellis, HSP-PA, LPA

Individual provider Psychologist · NPI 1629008313

Geertina H Ellis, HSP-PA, LPA is a Psychologist in Fayetteville, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

5242 Sundown Dr
Fayetteville, NC 28303-3287
Phone: (910) 670-9689
Fax: (910) 487-0703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 — (910) 578-3451

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2167 (NC)
Psychologist Taxonomy 103T00000X · Licence NC2167 (NC)

Record details

NPI number1629008313
Entity typeIndividual (Type 1)
GenderFemale
Credentials HSP-PA , LPA
Sole proprietorYes
NPI enumeratedJuly 5, 2006
Last updated in NPPESApril 15, 2020
Certification dateApril 15, 2020

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