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Carilyn Ellis, PSYD, MSCP

NPI 1962888388 · on the registry since 2015 · sole proprietor

Practice

Address
3857 Wolverine St Ne Ste 6
Salem, OR 97305
Phone
(503) 856-6430
Fax
(503) 877-1920
Organisation at this address
Am'S Riders Inc
Salem Audiology Clinic, Inc
Autumn Leaf Therapeutic Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103TB0200X
103TC0700X
103TH0004X
103TP2701X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon