| Dr Timothy P Ellingstad, PHD | |
|
190 Gardner Ave, #3, Burlington, WI 53105-2160 | |
| (262) 763-7766 | |
| (262) 763-9326 |
| Full Name | Dr Timothy P Ellingstad |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 190 Gardner Ave, Burlington, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396851101 | NPI | - | NPPES |
| 39142400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 2452-057 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy P Ellingstad, PHD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr Timothy P Ellingstad, PHD 190 Gardner Ave, #3, Burlington, WI 53105-2160 Ph: (262) 763-7766 |
Dr. Cassandra Braam, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 345 Milwaukee Ave, Burlington, WI 53105 Phone: 262-763-9191 Fax: 262-763-7767 | |
Dr. Timothy George Caufield, PSCYHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 209 N Dodge St, Burlington, WI 53105 Phone: 262-767-8667 Fax: 262-767-8798 | |
Dr. Dean Edward Stolldorf, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 441 Milwaukee Ave Ste 2, Burlington, WI 53105 Phone: 262-767-0440 Fax: 262-767-0777 | |
Kathryn D Marolt, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 197 W Chestnut St Ste 100, Burlington, WI 53105 Phone: 262-763-9191 | |
Rosita M Fernandez, Psychologist Medicare: Medicare Enrolled Practice Location: 318 Margaret Ct, Burlington, WI 53105 Phone: 812-201-3912 | |
Amelia Beth Brost, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 345 Milwaukee Ave, Burlington, WI 53105 Phone: 262-763-9191 |