Nicquelette Ellison
Nicquelette Ellison is a Psychologist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2024.
- Licensed in
- TX
- In the registry since
- 2024
Practice location Address checks out
2830 W Grande Blvd Apt 3102Tyler, TX 75703-3392
Phone: (813) 919-5860
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Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X (TX) |
|---|
Record details
| NPI number | 1912745472 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 18, 2024 |
| Last updated in NPPES | October 8, 2025 |
| Certification date | October 8, 2025 |
| Mailing address | 2830 W Grande Blvd Apt 3102, Tyler, TX 75703-3392 |
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