Most Relevant Information
Provider Data
| NPI Number: | 1003355843 |
| Provider Name: | ELLIOT AARON TEBBE PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 392857 |
Most Important Dates
| Enumeration Date: | 02/13/2017 |
| Last Updated: | 11/29/2021 |
Provider Practice Location
419 S MILLS ST
MADISON
WI
537151615
Practice Location Phone/Fax
| Phone: | 3203399992 |
| Fax: |
Provider Mailing Location
419 S MILLS ST
MADISON
WI
537151615
Provider Mailing Phone/Fax
| Phone: | 3203399992 |
| Fax: |