Individual
DR. JEFFREY DONALD ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
2501 W. 22ND ST, PO BOX 5046, SIOUX FALLS, SD 57117-5046
(605) 336-3230
(605) 333-5387
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
492
SD
Other
Enumeration date
05/02/2011
Last updated
03/24/2024
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