Individual
DR. TIMOTHY ANDREW ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3801 FAIRFAX DR 61, ARLINGTON, VA 22203-1762
(571) 317-1003
(888) 220-4899
Mailing address
3801 FAIRFAX DR STE 61, ARLINGTON, VA 22203-1762
(571) 317-1003
(888) 220-4899
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1000280
DC
Other
Enumeration date
01/08/2007
Last updated
06/01/2021
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