Individual provider · Type 1 NPI
Richard G. Ellsworth, PhD
Clinical Psychologist · Provo, UT
Practice location
3549 N University Ave - Suite 200, Jamestown Square -- Yorktown Bldg
Provo, UT 84604-4417
Fax (801) 374-7449
Mailing address
1392 Turf Farm Way Ste 1-134
Payson, UT 84651-5587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY10083 (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 1598814964
Richard G. Ellsworth, PhD's National Provider Identifier is 1598814964, issued on Jan 8, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Provo, UT. The record was last updated on Feb 10, 2021.