Individual provider · Type 1 NPI
Gregory Timothy Ellermann, PhD
Psychologist · Leavenworth, KS
Practice location
3515 S 4th St, Professional Association
Leavenworth, KS 66048
Fax (913) 772-8580
Mailing address
21 East 55th St
Kansas City, MO 64113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 860 (KS) |
| Psychologist | 103T00000X | 01582 (MO) |
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…
4 other providers at this address
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About NPI 1801991195
Gregory Timothy Ellermann, PhD's National Provider Identifier is 1801991195, issued on Sep 13, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Leavenworth, KS. The record was last updated on Oct 3, 2008.