Richard Ettelson, PHD
NPI #1174569453 in Rancho Cucamonga, California
Provider Information
- NPI Number
- 1174569453
- Entity Type
- Individual
- Name
- Richard Ettelson, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Jun 22, 2006
- Last Updated
- Sep 18, 2018
Practice Location
- Address
- 10630 TOWN CENTER DR STE 120
- City
- Rancho Cucamonga
- State
- California
- ZIP Code
- 91730-6889
- Phone
- (909) 989-0901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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