| Jeffrey K. Ellens, Ph.d. Plc | |
|
106 E Babcock St Ste 1b Bozeman MT 59715-4820 | |
| (406) 577-2410 | |
| (406) 573-1070 |
| Full Name | Jeffrey K. Ellens, Ph.d. Plc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 106 E Babcock St Ste 1b, Bozeman, Montana |
| Authorized Official Name and Position | Jennifer Boling (OFFICE MANAGER/OWNER) |
| Authorized Official Contact | 6198077143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey K. Ellens, Ph.d. Plc 1045 76th St Suite 3030 West Des Moines IA 50266-5834 Ph: (515) 777-3388 | Jeffrey K. Ellens, Ph.d. Plc 106 E Babcock St Ste 1b Bozeman MT 59715-4820 Ph: (406) 577-2410 |
| NPI Number | 1093102741 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093102741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 001132 (Iowa) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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