Individual
DR. KIRSTEN ELLINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4071 BEE RIDGE RD, SUITE 204, SARASOTA, FL 34233-2542
(941) 357-4090
Mailing address
4071 BEE RIDGE RD, SUITE 204, SARASOTA, FL 34233-2542
(941) 357-4090
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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