Individual
PATRICIA JANE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
845 PARKSIDE ST, RIPON, WI 54971-8505
(920) 926-4200
(920) 926-8933
Mailing address
SSM HEALTH FDL REGIONAL CLINIC, 1808 W BELTLINE HWY, MADISON, WI 53713-2334
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3215-57
WI
Other
Enumeration date
04/15/2008
Last updated
10/06/2022
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