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Dr. Gregory Timothy Ellermann, PHD
Psychologist in Leavenworth, Kansas
NPI 1801991195

Gregory Timothy Ellermann is a Psychologist based in Kansas City, KS. Gregory Timothy Ellermann practices in Leavenworth, KS and has the professional credentials of PHD. The NPI Number for Gregory Timothy Ellermann is 1801991195 and holds a License No. 860 (Kansas).

The current practice location address for Gregory Timothy Ellermann is 3515 S 4Th St, Leavenworth, KS and can be reached out via phone at 913-651-8415 and via fax at 913-772-8580. You can also correspond with Gregory Timothy Ellermann through the mailing address at 21 EAST 55TH ST, KANSAS CITY, MO - 64113 (mailing address contact number: 816-333-3262).

Location: 3515 S 4Th St, Leavenworth, KS, 64113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801991195
Provider Name
Gregory Timothy Ellermann
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
3515 S 4Th St, Leavenworth, KS, 64113
Phone Number
913-651-8415
Fax Number
913-772-8580
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
043080 01 KS BCBS OF KANSAS
7030764 01 AETNA
004517 01 BCBS OF KANSAS GROUP
32816022 01 KS KANSAS CITY BCBS
institution
Provider Business Practice Location Address Details
Address
3515 S 4Th St
City
Leavenworth
State
Kansas
Zip
66048
Phone Number
913-651-8415
Fax Number
913-772-8580
person
Provider Business Mailing Address Details
Address
3515 S 4Th St
City
Leavenworth
State
Kansas
Zip
66048
Phone Number
913-651-8415
Fax Number
913-772-8580
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
860 (Kansas)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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