Organization
REALIGN PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ELLSWORTH PHD (CLINICAL PSYCHOLOGIST)
(240) 478-8892
Entity
Organization
Contact information
Practice address
1042 E FORT UNION BLVD, #1085, MIDVALE, UT 84047-1800
(801) 382-8702
Mailing address
1258 PIPER LN, EUGENE, OR 97401-1868
(240) 478-8892
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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