| Dr Richard G Ellsworth, PHD | |
|
3549 N University Ave - Suite 200, Jamestown Square -- Yorktown Bldg, Provo, UT 84604-4417 | |
| (801) 377-2014 | |
| (801) 374-7449 |
| Full Name | Dr Richard G Ellsworth |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 3549 N University Ave - Suite 200, Provo, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598814964 | NPI | - | NPPES |
| 11211945-2501 | Other | UT | STATE LICENSE |
| PSY10083 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY10083 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard G Ellsworth, PHD 1392 Turf Farm Way Ste 1-134, Payson, UT 84651-5587 Ph: (661) 609-0341 | Dr Richard G Ellsworth, PHD 3549 N University Ave - Suite 200, Jamestown Square -- Yorktown Bldg, Provo, UT 84604-4417 Ph: (801) 377-2014 |
Eliza Rachelle Gedge, PH.D., LP Psychologist Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-0639 Fax: 801-373-0639 | |
Vaughn E Worthen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1545 Wsc, Provo, UT 84602 Phone: 801-471-6266 | |
Prof. Benjamin Mckay Ogles, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1190 N 900 E, Provo, UT 84604 Phone: 801-422-8193 | |
Dr. Kari A O'grady, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1508 Springdell Cir, Provo, UT 84604 Phone: 410-952-2207 | |
Michaela Shields, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215 | |
Dr. R. Lynn Richards, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1432 E. 850 S., Provo, UT 84606 Phone: 801-371-8787 Fax: 801-371-8784 | |
Dr. Max Ford Mcbride, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W, Suite 414, Provo, UT 84604 Phone: 801-357-7757 Fax: 801-357-8100 |