DR. RICHARD ELLSWORTH, PHD
Psychologist - Clinical
Active
Individual
NPI: 1598814964
Practice Address
3549 N UNIVERSITY AVE - SUITE 200JAMESTOWN SQUARE -- YORKTOWN BLDG
Provo, UT 84604
Phone: (801) 377-2014
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | PSY10083 (CA) |
Frequently Asked Questions
NPI 1598814964 is the National Provider Identifier for DR. RICHARD ELLSWORTH, PHD, a Psychologist - Clinical provider located in Provo, UT. This NPI was enumerated on January 8, 2007.
DR. RICHARD ELLSWORTH, PHD practices at 3549 N UNIVERSITY AVE - SUITE 200, JAMESTOWN SQUARE -- YORKTOWN BLDG, Provo, UT 84604.
Quick Facts
- NPI
- 1598814964
- Type
- Individual
- Enumerated
- Jan 8, 2007
- Last Updated
- Feb 10, 2021
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