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Gregory Ellermann, PHD
NPI 1801991195 · on the registry since 2006
Practice
- Address
- 3515 S 4th St
Professional Association
Leavenworth, KS 66048 - Phone
- (913) 651-8415
- Fax
- (913) 772-8580
- Organisation at this address
- Alive Family Psychiatry
Alive Family Psychiatry Llc
Frederick J Tirrell Phd Professional AssociationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Also registered as
- Psychologist
- Licence states on file
- KS, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas