Individual provider · Type 1 NPI

Kirk Richard Ellis, PSYD

Clinical Psychologist · Marietta, GA

NPI number 1346154887 Active

Practice location

4038 Jordan Lake Dr
Marietta, GA 30062-5786

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X2337 (AL)

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 1346154887

Kirk Richard Ellis, PSYD's National Provider Identifier is 1346154887, issued on Oct 1, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Marietta, GA. The record was last updated on Oct 1, 2026.