Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD G. ELLSWORTH, PHD
Active Sole ProprietorDR. RICHARD G. ELLSWORTH, PHD is a Clinical Psychologist healthcare provider located in PROVO, Utah. NPI 1598814964 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PROVO, UT
Registration Details
- NPI Number
- 1598814964
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2007 (19.642552111466 yrs)
- Last Updated
- Feb 10, 2021
- License
-
PSY10083 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3549 N UNIVERSITY AVE - SUITE 200JAMESTOWN SQUARE -- YORKTOWN BLDGPROVO, UT, 846044417Browse UT providers · Browse ZIP 84604
- Phone
- 8013772014
- Fax
- 8013747449
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. ALLAN ROE | PH.D. | 1992703615 |
| MR. JUERGEN ERICH KORBANKA | PHD | 1386600450 |
| THEODORE TERRY | PHD | 1790892685 |
| RANDAL S PENNINGTON | PSYD | 1801903786 |
| LAWRENCE PAUL DUNNING | PH D | 1154432060 |
| RICHARD ALLEN MOODY | PSY.D. | 1922101849 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.