Dr. Elliot Aaron Tebbe
Clinical Psychologist
419 S Mills St
Madison
, Wisconsin 53715-1615
Dr. Elliot Aaron Tebbe
Clinical Psychologist
419 S Mills St
Madison
, Wisconsin 53715-1615
(320) 339-9992
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Elliot Aaron Tebbe
- 419 S Mills St
- Madison, WI
- Zip : 53715-1615
- Phone : (320) 339-9992
Second Address
- Dr. Elliot Aaron Tebbe
- 419 S Mills St
- Madison, WI
- Zip : 53715-1615
- Phone : (320) 339-9992
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 392857 | WI |
| Y | 103TC0700X | Clinical Psychologist | 392857 | WI |
National Provider Identifier
| NPI | 1003355843 |
|---|---|
| Provider Name | Dr. Elliot Aaron Tebbe |
| First Address | Madison, WI 53715-1615 |
| Second Address | Madison, WI 53715-1615 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2017 |
| Last Update Date | 29/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.