Jeffrey Donald Ellison PSYD

NPI 1679864128 - Psychologist - 103TC0700X

NPI Details
NPI 1679864128
Gender Male
Enumeration Date 05/02/2011
Last Updated 05/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2501 W. 22ND ST
SIOUX FALLS SD, 57117-5046, US
Phone (605) 336-3230
Fax (605) 333-5387
Business Location
2501 W. 22ND ST
PO BOX 5046
SIOUX FALLS SD, 57117-5046, US
Phone (605) 336-3230
Fax (605) 333-5387
Toxanomy
Taxonomy Code 103TC0700X
License State South Dakota
License Number 492
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According to our database, Dr. Jeffrey Donald Ellison PSYD NPI is 1679864128, taxonomy code is 103TC0700X and license number is 492, license state is located at South Dakota. Jeffrey Donald Ellison PSYD physically located at 2501 W. 22nd St, Sioux Falls SD, 57117-5046. NPI Number Jeffrey Donald Ellison PSYD has the Individual type.

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1679864128 NPI number is provided on an as is basis without warranty of any kind. 1679864128 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Donald Ellison PSYD are for informational purposes only.