Lisa Venee Ellis
Lisa Venee Ellis is an Early Intervention Provider Agency in Wooster, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
916 N Grant StWooster, OH 44691-2828
Phone: (970) 210-0597
Fax: (970) 788-7525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1689276388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 9, 2020 |
| Last updated in NPPES | November 9, 2020 |
| Certification date | November 9, 2020 |
| Mailing address | 916 N Grant St, Wooster, OH 44691-2828 |