Individual provider · Type 1 NPI
Carilyn Claire Ellis, PSYD, MSCP
Psychologist · Salem, OR
Practice location
3857 Wolverine St NE Ste 6
Salem, OR 97305-4274
Fax (503) 877-1920
Mailing address
920 SW Range Drive
Waldport, OR 97394-3035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 2595 (OR) |
| Clinical Psychologist | 103TC0700X | 2595 (OR) |
| Health Psychologist | 103TH0004X | 2595 (OR) |
| Group Psychotherapy Psychologist | 103TP2701X | 2595 (OR) |
| Psychologist Primary | 103T00000X | 2595 (OR) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1962888388
Carilyn Claire Ellis, PSYD, MSCP's National Provider Identifier is 1962888388, issued on Aug 7, 2015. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Salem, OR. The record was last updated on Mar 5, 2020.