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Individual
DR. GREGORY TIMOTHY ELLERMANN
Active
Individual
DR. GREGORY TIMOTHY ELLERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
01582
MO
103T00000X
Psychologist
Primary
860
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004517
BCBS OF KANSAS GROUP
—
01
—
043080
BCBS OF KANSAS
KS
01
—
32816022
KANSAS CITY BCBS
KS
01
—
7030764
AETNA
—
Enumeration date
09/13/2006
Last updated
10/03/2008
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