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Dr. Richard G. Ellsworth, PHD
Clinical Psychologist in Provo, Utah
NPI 1598814964

Richard G. Ellsworth is a Clinical Psychologist based in Payson, UT and is specialized in Clinical. Richard G. Ellsworth practices in Provo, UT and has the professional credentials of PHD. The NPI Number for Richard G. Ellsworth is 1598814964 and holds a License No. PSY10083 (Utah).

The current practice location address for Richard G. Ellsworth is 3549 N University Ave - Suite 200, Provo, UT and can be reached out via phone at 801-377-2014 and via fax at 801-374-7449.

Location: 3549 N University Ave - Suite 200, Provo, UT, 84651-5587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598814964
Provider Name
Richard G. Ellsworth
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
3549 N University Ave - Suite 200, Provo, UT, 84651-5587
Phone Number
801-377-2014
Fax Number
801-374-7449
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11211945-2501 01 UT STATE LICENSE
PSY10083 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
3549 N University Ave - Suite 200
City
Provo
State
Utah
Zip
84604-4417
Phone Number
801-377-2014
Fax Number
801-374-7449
person
Provider Business Mailing Address Details
Address
3549 N University Ave - Suite 200
City
Provo
State
Utah
Zip
84604-4417
Phone Number
801-377-2014
Fax Number
801-374-7449
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY10083 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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