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Dr. Carl Richard Ellis, EDD
Clinical Child & Adolescent Psychologist in Norfolk, Virginia
NPI 1821173519

Carl Richard Ellis is a Clinical Child & Adolescent Psychologist based in Norfolk, VA and is specialized in Clinical Child & Adolescent. Carl Richard Ellis practices in Norfolk, VA and has the professional credentials of EDD. The NPI Number for Carl Richard Ellis is 1821173519 and holds a License No. 0810001913 (Virginia).

The current practice location address for Carl Richard Ellis is 4101 Granby St Ste 301, Norfolk, VA and can be reached out via phone at 757-640-1882 and via fax at 757-640-0253.

Location: 4101 Granby St Ste 301, Norfolk, VA, 23504-1117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821173519
Provider Name
Carl Richard Ellis
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
4101 Granby St Ste 301, Norfolk, VA, 23504-1117
Phone Number
757-640-1882
Fax Number
757-640-0253
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
058231 01 VA ANTHEM BC/BS
007700580 05 VA
institution
Provider Business Practice Location Address Details
Address
4101 Granby St Ste 301
City
Norfolk
State
Virginia
Zip
23504-1117
Phone Number
757-640-1882
Fax Number
757-640-0253
person
Provider Business Mailing Address Details
Address
4101 Granby St Ste 301
City
Norfolk
State
Virginia
Zip
23504-1117
Phone Number
757-640-1882
Fax Number
757-640-0253
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
103TC2200X
License No.
0810001913 (Virginia)
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
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