DR. Timothy P Ellingstad, PHD
NPI #1396851101 in Burlington, Wisconsin
Provider Information
- NPI Number
- 1396851101
- Entity Type
- Individual
- Name
- DR. Timothy P Ellingstad, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PHD
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Aug 23, 2019
Practice Location
- Address
- 190 GARDNER AVE
- Address 2
- #3
- City
- Burlington
- State
- Wisconsin
- ZIP Code
- 53105-2160
- Phone
- (262) 763-7766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Health — Health |
| Psychologist |
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