Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr. Kirk Richard Ellis, PSYD

Individual provider Clinical Psychologist · NPI 1346154887

Dr. Kirk Richard Ellis, PSYD is a Clinical Psychologist in Marietta, Georgia. Licensed in Alabama. Registered with an NPI since 2026.

Licensed in
AL
In the registry since
2026
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4038 Jordan Lake Dr
Marietta, GA 30062-5786
Phone: (404) 323-4665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2337 (AL)

Record details

NPI number1346154887
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 1, 2026
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026

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