| Dr Gregory Timothy Ellermann, PHD | |
|
3515 S 4th St, Professional Association, Leavenworth, KS 66048 | |
| (913) 651-8415 | |
| (913) 772-8580 |
| Full Name | Dr Gregory Timothy Ellermann |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 3515 S 4th St, Leavenworth, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801991195 | NPI | - | NPPES |
| 043080 | Other | KS | BCBS OF KANSAS |
| 7030764 | Other | AETNA | |
| 004517 | Other | BCBS OF KANSAS GROUP | |
| 32816022 | Other | KS | KANSAS CITY BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 860 (Kansas) | Primary |
| 103T00000X | Psychologist | 01582 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Timothy Ellermann, PHD 21 East 55th St, Kansas City, MO 64113 Ph: (816) 333-3262 | Dr Gregory Timothy Ellermann, PHD 3515 S 4th St, Professional Association, Leavenworth, KS 66048 Ph: (913) 651-8415 |
Dr. Paula L. Timmons, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 Fax: 913-758-4273 | |
Dr. Kylie L Dowell, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 | |
Deborah Lynn Weidinger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3515 S 4th Street, Professional Association, Leavenworth, KS 66048 Phone: 913-651-8415 Fax: 913-772-8580 | |
Dr. Amber D. Guzman, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 Fax: 913-946-1561 | |
Jim Sharpnack, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Limit St, Leavenworth, KS 66048 Phone: 913-682-5118 Fax: 913-682-4664 | |
Dakota Mcnamara Thornblade, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Limit St, Leavenworth, KS 66048 Phone: 913-682-4664 | |
Dr. Erin Elisabeth Mills, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4101 S 4th St, Leavenworth, KS 66048 Phone: 913-682-2000 |