DR. TIMOTHY ELLINGSTAD, PHD
Psychologist
Active
Individual
NPI: 1396851101
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Health | 103TH0004X | No | - |
| Psychologist | 103T00000X | Yes | 2452-057 (WI) |
Frequently Asked Questions
NPI 1396851101 is the National Provider Identifier for DR. TIMOTHY ELLINGSTAD, PHD, a Psychologist provider located in Burlington, WI. This NPI was enumerated on August 22, 2006.
DR. TIMOTHY ELLINGSTAD, PHD practices at 190 GARDNER AVE, #3, Burlington, WI 53105.
Quick Facts
- NPI
- 1396851101
- Type
- Individual
- Enumerated
- Aug 22, 2006
- Last Updated
- Aug 23, 2019
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