NPI 1093102741

Jeffrey K. Ellens, PH.D. Plc

Organisation Counseling Psychologist Bozeman, MT

Practice location

Address: 106 E Babcock St STE 1b, Bozeman, MT 59715-4820
Phone: (406) 577-2410
Fax: (406) 573-1070
Mailing address: 1045 76th St Suite 3030, West Des Moines, IA 50266-5834

Authorised official

Name: Jennifer Boling
Title: Office Manager/Owner
Phone: (619) 807-7143

Registered specialties (2)

Counseling Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC1900X

Other Psychologist providers in Montana →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 001132 (IA)

Registry record

NPI: 1093102741
Entity type: Organization
NPI issued: 21 Apr 2015
Record last updated: 16 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.