Provider Demographics
NPI:1770385353
Name:ELLIS-BOWEN, SANCHIA SHANICA (MD, BSC)
Entity type:Individual
Prefix:MRS
First Name:SANCHIA
Middle Name:SHANICA
Last Name:ELLIS-BOWEN
Suffix:
Gender:
Credentials:MD, BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 LINCOLN ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-6215
Mailing Address - Country:US
Mailing Address - Phone:904-916-4028
Mailing Address - Fax:
Practice Address - Street 1:100 INDEPENDENCE DR # 8
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-1898
Practice Address - Country:US
Practice Address - Phone:508-778-1839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health