Individual
DR. NANCY ANN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
712 LOIS DR, SUN PRAIRIE, WI 53590-1100
(608) 213-5474
(888) 643-9220
Mailing address
712 LOIS DR, P.O. BOX 146, SUN PRAIRIE, WI 53590-1100
(608) 213-5474
(888) 643-9220
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2600-057
WI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
2600-057
WI
103TC0700X
Clinical Psychologist
2600-057
WI
103TC1900X
Counseling Psychologist
2600-057
WI
103TF0200X
Forensic Psychologist
Primary
2600-057
WI
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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