RICHARD G. ELLSWORTH

PROVO, UT
NPI1598814964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY10083)
Enumeration Date2007-01-08
Last Update Date2021-02-10
Business Address
Dr. RICHARD G. ELLSWORTH PhD
3549 N UNIVERSITY AVE - SUITE 200 JAMESTOWN SQUARE -- YORKTOWN BLDG
PROVO, UT 84604-4417
Phone number: 801-377-2014
Mailing Address
Dr. RICHARD G. ELLSWORTH PhD
1392 TURF FARM WAY STE 1-134
PAYSON, UT 84651-5587
Phone number: 661-609-0341
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