location
search-icon
person
Mrs. Ellen Marie Theobald, PHD
Clinical Psychologist in Riverside, California
NPI 1962576223

Ellen Marie Theobald is a Clinical Psychologist based in Riverside, CA and is specialized in Clinical. Ellen Marie Theobald practices in Riverside, CA and has the professional credentials of PHD. The NPI Number for Ellen Marie Theobald is 1962576223 and holds a License No. PSY9953 (California).

The current practice location address for Ellen Marie Theobald is 5015 Canyon Crest Dr, Riverside, CA and can be reached out via phone at 951-369-7416 and via fax at 951-787-9093. You can also correspond with Ellen Marie Theobald through the mailing address at 5307 STONEWOOD DR, RIVERSIDE, CA - 92506 (mailing address contact number: 951-683-2684).

Location: 5015 Canyon Crest Dr, Riverside, CA, 92506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962576223
Provider Name
Ellen Marie Theobald
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
5015 Canyon Crest Dr, Riverside, CA, 92506
Phone Number
951-369-7416
Fax Number
951-787-9093
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5015 Canyon Crest Dr
City
Riverside
State
California
Zip
92507
Phone Number
951-369-7416
Fax Number
951-787-9093
person
Provider Business Mailing Address Details
Address
5307 Stonewood Dr
City
Riverside
State
California
Zip
92506
Phone Number
951-683-2684
Fax Number
951-683-2766
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY9953 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.