Dr Ellen M Sundberg, PHD - Psychologist in Hattiesburg, MS

Dr Ellen M Sundberg, PHD is a Psychologist based in Hattiesburg, Mississippi. Dr Ellen M Sundberg is licensed to practice in Mississippi (license number 34 560) and her current practice location is 312 S 25th Ave, Hattiesburg, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 296-1295.

NPI number for Dr Ellen M Sundberg is 1194949602 and her current mailing address is Po Box 17743, Hattiesburg, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194949602.

Contact Information

Dr Ellen M Sundberg, PHD
312 S 25th Ave,
Hattiesburg, MS 39401-7301
(601) 296-1295
(601) 296-0119

Map and Direction




Healthcare Provider's Profile

Full NameDr Ellen M Sundberg
GenderFemale
SpecialityPsychologist
Location312 S 25th Ave, Hattiesburg, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194949602
  • Provider Enumeration Date: 04/13/2007
  • Last Update Date: 11/26/2008

Medical Identifiers

Medical identifiers for Dr Ellen M Sundberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194949602NPI-NPPES
0115948MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 34 560 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ellen M Sundberg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ellen M Sundberg, PHD
Po Box 17743,
Hattiesburg, MS 39404-7743

Ph: (601) 296-1295
Dr Ellen M Sundberg, PHD
312 S 25th Ave,
Hattiesburg, MS 39401-7301

Ph: (601) 296-1295

Reviews and Comments


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