LESLIE ELAINE ELLIS PHD
NPI 1730346792
Psychologist - Clinical in Dalton, GA

Q: What is Leslie Ellis's NPI number?

The NPI number for Leslie Ellis is 1730346792. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Q: What is Leslie Ellis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Ellis was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 19, 2008

2005 EAGLE POINT DR, DALTON, GA 30720(727) 365-8577 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Leslie Elaine Ellis Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE ELAINE ELLIS PHD (NPI 1730346792) is an individual clinical provider in Dalton, Georgia, licensed in Georgia (GA3273) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1730346792

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLESLIE ELAINE ELLISCredential: PHD

Location Address2005 EAGLE POINT DRDalton, GA 30720-4941

Mailing Address2005 Eagle Point DrDalton, GA 30720-4941 · (727) 365-8577

Phone(727) 365-8577

Sole ProprietorYes

Enumeration DateMay 19, 2008

Last NPPES UpdateApril 24, 2026

NPPES CertifiedApril 24, 2026

✔ NPI 1730346792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · GA3273

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2005 EAGLE POINT DR, Dalton, GA 30720

Open in Google Maps ↗

Other Identifiers 2

OtherZ130QFL · Bcbsf

Medicaid497958107CGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Ellis's NPI number?

The NPI number for Leslie Ellis is 1730346792. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Leslie Ellis located?

Leslie Ellis practices at 2005 Eagle Point Dr, Dalton, GA 30720. The listed phone number is (727) 365-8577.

What is Leslie Ellis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Leslie Ellis was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.