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Richard Ellsworth, PHD
NPI 1598814964 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3549 N University Ave - Suite 200
Jamestown Square -- Yorktown Bldg
Provo, UT 84604 - Phone
- (801) 377-2014
- Fax
- (801) 374-7449
Registry record
- Primary taxonomy
- Clinical Psychologist
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah