LESLIE ELAINE ELLIS (PHD) – Clinical Psychologist, NPI 1730346792

LESLIE ELAINE ELLIS (PHD) is a healthcare provider. based in Lutz, Florida. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. GA3273 (GA). The NPI Number for LESLIE ELAINE ELLIS (PHD) is 1730346792

Main info

Female
Sole Proprietor
Name
LESLIE ELAINE ELLIS (PHD)
NPI
1730346792
Phone
(813) 964-9101
Address
207 CRYSTAL GROVE BLVD
Enumeration Date
19 May 2008
Last Update Date
24 April 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for LESLIE ELAINE ELLIS (PHD)

  • 207, Crystal Grove Boulevard, Lutz, Hillsborough County, Florida, 33548, United States

    LUTZ, FL 335486452

    Phone: (813) 964-9101

    Fax: (813) 964-9141

    Type: Location

  • 2005 EAGLE POINT DR

    DALTON, GA 307204941

    Phone: (727) 365-8577

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 33548)

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Frequently asked questions

What number should I use to identify LESLIE ELAINE ELLIS (PHD) for billing?
Administrative and clinical systems typically use NPI 1730346792 for LESLIE ELAINE ELLIS (PHD).
Is LESLIE ELAINE ELLIS (PHD) currently accepting referrals based on NPI status?
Registry metadata lists LESLIE ELAINE ELLIS (PHD) as active.
What type of care does LESLIE ELAINE ELLIS (PHD) provide?
LESLIE ELAINE ELLIS (PHD)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to LESLIE ELAINE ELLIS (PHD)?
The directory associates LESLIE ELAINE ELLIS (PHD) with Lutz, Florida. Check all listed addresses for suites or satellite offices.
Who maintains LESLIE ELAINE ELLIS (PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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