Individual
DR. JEFFREY K. ELLENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
106 E BABCOCK ST STE 1B, BOZEMAN, MT 59715-4820
(406) 577-2410
(406) 573-1070
Mailing address
106 E BABCOCK ST STE 1B, BOZEMAN, MT 59715-4820
(406) 577-2410
(406) 573-1070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001132
IA
Other
Enumeration date
05/22/2012
Last updated
03/24/2023
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