Individual provider · Type 1 NPI

Timothy P. Ellingstad, PhD

Psychologist · Burlington, WI

NPI number 1396851101 Active

Practice location

190 Gardner Ave, #3
Burlington, WI 53105-2160

Fax (262) 763-9326

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843

Specialties and licenses

TaxonomyCodeLicense
Health Psychologist 103TH0004XNone listed
Psychologist Primary 103T00000X2452-057 (WI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1396851101

Timothy P. Ellingstad, PhD's National Provider Identifier is 1396851101, issued on Aug 22, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Burlington, WI. The record was last updated on Aug 23, 2019.