Individual provider · Type 1 NPI

Richard Ettelson, PhD

Clinical Psychologist · Rancho Cucamonga, CA

NPI number 1174569453 Active

Practice location

10630 Town Center Dr Ste 120
Rancho Cucamonga, CA 91730-6889

Call (909) 989-0901 Map

Fax (909) 941-1087

Other practice locations

10722 Arrow Rte, 314, Rancho Cucamonga, CA 91730-4808 · (909) 367-3333

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	D5418953 (CA)

Clinical Psychologist: 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 discip…

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About NPI 1174569453

Richard Ettelson, PhD's National Provider Identifier is 1174569453, issued on Jun 22, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Sep 18, 2018.