Individual provider · Type 1 NPI

Glen R. Elliott, PhD, MD

Child & Adolescent Psychiatry Physician · Palo Alto, CA

NPI number 1104939503 Active

Practice location

650 Clark Way
Palo Alto, CA 94304-2300

Call (650) 688-3649 Map

Fax (650) 688-3669

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XG44741 (CA)
Child & Adolescent Psychiatry Physician Primary 2084P0804XG44741 (CA)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1104939503

Glen R. Elliott, PhD, MD's National Provider Identifier is 1104939503, issued on Aug 17, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Palo Alto, CA. The record was last updated on Oct 4, 2026.