1 R I C H A R D S. A D L E R, M. D. & A S S O C I A T E S, P L L C F o r e n s i c & C l i n i c a l P s y c h i a t r y 1700 Seventh Avenu e, Suite 210 Seattle, WA (206) Office (206) Fax rich m m EDUCATION Senior Fellow in Forensic Psychiatry University of Washington School of Medicine, Seattle, WA Fellow in Child Psychiatry Massachusetts General Hospital/Harvard Medical School 55 Fruit Street, Boston, MA (617) Resident in Adult Psychiatry McLean Hospital/Harvard Medical School 115 Mill Street, Belmont, MA (800) Included rotations in Consult liaison, Psychiatry at Brigham & Women s Hospital, Forensic Psychiatry at Bridgewater State Hospital, Adolescent and Family Treatment Unit at McLean Hospital Internship year in Adult Psychiatry McLean Hospital/Harvard Medical School 115 Mill Street, Belmont, MA (800) Six months medical internship at Mt. Auburn MGH, two months of Inpatient Geriatric Psychiatry, two months of Substance Abuse Psychiatry Albany Medical College of Union University (AMC) 43 New Scotland Avenue, Albany, NY (518) Doctor of Medicine Alpha Omega Alpha Honor Society Shaeffer Prize in Pathology Honor Committee Member
2 Page 2 of Research in Gastrointestinal Pathology Brigham and Women s Hospital, Department of Pathology, Ramzi Cotran, M.D., Chief 75 Francis Street, Boston, MA (617) American Gastroenterological Association Award for Medical Student Research - Poster Presentation Rensselaer Polytechnic Institute (RPI) 110 8th Street, Troy, NY (518) Bachelor of Science in Biology Summa cum laude, RPI - AMC 6-year Biomedical Program POSITIONS 9/12 present 5/08 present Adjunct Instructor Seattle University, Criminal Justice Department th Avenue, Seattle, WA Medical Director FASD Experts.com - Interdisciplinary collaborative forensic and clinical evaluation of Fetal Alcohol Spectrum Disorders. 2/97 present Private Practice Forensic and clinical psychiatric practice in child and adult psychiatry present Clinical Instructor University of Washington School of Medicine, Seattle, WA present Clinical Instructor Antioch University - Seattle th Avenue, Seattle, WA /00 present Speakers Bureau and National Advisory Board McNeil Consumer Healthcare, makers of Concerta Psychiatric Consultant Renton Academy th Avenue SE, Newcastle, WA (425) Employed by the Renton School District to provide on-site psychiatric services for a new specialty school informed by the Re-Education Approach pioneered by Nicholas Hobbs, Ph.D National Advisory Panel Cephalon, Inc., makers of Sparlon (modafanil)
3 Page 3 of 10 2/97 6/08 Staff Psychiatrist Children s Hospital & Medical Center, Seattle, WA Patient evaluation and psychopharmacologic management, team consultation two days a week. 7/00 12/00 Staff Psychiatrist Western State Hospital Program for Forensic Evaluations in Corrections and the Community, Tacoma, WA Carl Redick, Psy.D., Director 7/98 6/00 Acting Clinical Instructor (*) Children s Hospital & Medical Center, Lake City Way Satellite Clinic, Lake City Way NE, Seattle, WA (206) Individual and group supervision of Child Psychiatry Fellows, Adult Psychiatry Residents, and Psychology Interns at a University of Washington Medical School teaching site. (*) During the Senior Fellowship in Forensic Psychiatry (see Education), University of Washington regulations require that the instructorship be regarded as acting. 1/98 7/98 Clinical Instructor Children s Hospital & Medical Center, Lake City Way Satellite Clinic, Lake City Way NE, Seattle, WA (206) /96 6/98 Staff Psychiatrist Seattle Mental Health Institute 1600 East Olive Street, Seattle, WA (206) Provided staff consultation and treatment to adults, children and adolescents, including The Deaf Services unit, in a large community mental health center (CMHC) with a wide continuum of care. 8/91 7/96 Medical Director & Founding President Comprehensive Psychiatric Group 120 East Main Street, Salisbury, MD Region s largest multi-disciplinary mental health practice with Addictions, Eating Disorders and extensive Group Psychotherapy Programs.
4 Page 4 of 10 3/95 7/95 Consultant Behavioral Health Services Peninsula Regional Medical Center (PRMC) 100 East Carroll Street, Salisbury, MD Retained to design integrated and managed care-friendly inpatient, outpatient, consult-liaison and emergency mental health services. 1/94 12/95 Community Affiliate Peninsula Regional Medical Center 11/91 12/93 Attending Psychiatrist Peninsula Regional Medical Center Inpatient, emergency and consult liaison services. 7/88 6/92 Medical Director, Mental Health Clinics Somerset County Health Department, Westover, MD National Health Service Corps Scholarship Placement; Included consultation to Colbourne Substance Abuse Center, Crisfield, MD, Somerset County Sheriff s Department, Public Schools, and Developmental Center. 7/88 6/91 Medical Director, Mental Health Clinics Worcester County Health Department, Snow Hill, MD National Health Service Corps Scholarship Placement. 7/86 6/88 Part-time private practice Boston, MA 10/86 6/88 Ciba-Geigy Clinical Trial of Clomipramine for Obsessive-Compulsive Disorder in Children and Adolescents Massachusetts General Hospital, Boston, MA Co-investigator with Joseph Biederman, MD Doctor-on-Call Pembroke Hospital, Pembroke, MA bed Private Psychiatric Hospital Doctor-on-Call Norwood Hospital, Norwood, MA bed locked psychiatric unit in suburban community General hospital with Emergency Room and Consult-liaison consultation services Psychopharmacology Consultant Cutler Counseling Center, Norwood, MA Non-profit, community outpatient facility.
5 Page 5 of 10 LICENSES 2013 present 2012 present 1996 present Alaska (7/23/13) Georgia (7/30/12) Washington (3/12/96) Maryland - D36903 (6/18/88) Massachusetts (6/l/84) CERTIFICATIONS 1992 Child and Adolescent Psychiatry American Board of Psychiatry and Neurology, # Adult Psychiatry American Board of Psychiatry and Neurology, # National Board of Medical Examiners, # MAJOR COMMITTEE ASSIGNMENTS present present Advisory Board Seattle University, Criminal Justice Department, Seattle, WA Chairman, Ethics Committee Washington State Psychiatric Association 1998 Managed Care Committee Division of Child & Adolescent Psychiatry, Children s Hospital and Regional Medical Center, Seattle, WA 1995 Representative of the Maryland Psychiatric Society to the Rural Psychiatry Task Force American Psychiatric Association Annual Meeting, May, Miami Beach, FL Board of Directors Life Crisis Center, 216 East Main Street, Salisbury, MD Chairman, Executive Director Search Committee (1994) 1993 Select Committee, Quality Council Peninsula Regional Medical Center. Empowered to re-engineer Emergency Room Psychiatric Services. Developed satisfaction assessment tool.
6 Page 6 of Utilization Review Committee Peninsula Regional Medical Center Founding President Eastern Shore Psychiatrists Group Established to provide networking opportunities Physicians Steering Committee Atlantic General Hospital, Berlin, MD Provided input on design of new community General hospital Utilization Review Committee Peyton Psychogeriatric Unit, McCready Hospital, Crisfield, MD Specialty in-patient locked unit for chronically mentally ill geriatric patients. MEMBERSHIPS present American Academy of Psychiatry and the Law present American Psychiatric Association Eastern Shore Psychiatrists Group Maryland Psychiatric Society Massachusetts Psychiatric Society PUBLICATIONS & PRESENTATIONS Racial Disparity in Application of the Death Penalty in Washington Continuing Legal Education, University of Washington School of Law, Seattle, WA. May 17, Safety First! Practical Juris Prudence Adler RS, Thompson L, Northwest Justice Project, Seattle, WA. November 21, DSM-5: What You Need to Know Psychiatry Residency Program Department of Psychiatry and Behavioral Sciences, University of Washington Medical Center, Seattle, WA. July 31, DSM-5: What You Need to Know Psychiatry Residency Program, Harborview Medical Center, Seattle, WA. July 12, DSM-5: What You Need to Know Adler RS, Layton M, Washington State Psychiatric Association DSM-5 Training, Swedish Medical Center, Cherry Hill Campus, Seattle, WA. July 9, 2013.
7 Page 7 of Fetal Alcohol Spectrum Disorder Training - What is FASD and How Does It Affect the Behavior of Your Client? Getting a Diagnosis: Who Can Do It and What Is Involved? Washington Defender Association Defender Conference: Creating Better Outcomes for Our Clients, Winthrop, WA. April 28, Conduct-disordered Adolescents with Fetal Alcohol Spectrum Disorder: Intervention in Secure Treatment Settings Brown NN, Connor PD & Adler RS. Criminal Justice and Behavior. June 2012 vol. 39 no Neuroimaging Ellis J, Adler RS, Oregon Criminal Defense Lawyers Association: Death Penalty Defense: The Cutting Edge: New Developments in Law and Science, Pendleton, OR. October 21, Picking the Right Expert Oregon Criminal Defense Lawyers Association: Death Penalty Defense: The Cutting Edge: New Developments in Law and Science, Pendleton, OR. October 21, FASD: Diagnosis for the Legal Setting Seattle Municipal Attorney s Office: Fetal Alcohol Spectrum Disorders and the Criminal Justice System, Seattle City Hall. October 7, Prenatal Substance Exposure and Childhood Mental Health Issues UW School of Medicine Department of Psychiatry: Indian Health Service - Fetal Alcohol Spectrum Disorders (FASD) Training. Seattle, WA. September 21-22, Risk Factors for Mental Health Problems in Children Lummi Nation Summer Training. Bellingham, WA. September 16, Use of Parenting Evaluations in Divorce. NBI Conference. Washington State Convention and Trade Center. September 15, Introduction to Forensic Psychiatry UW School of Medicine Department of Psychiatry: Forensic Psychiatry R4 Seminar Series. University of Washington. September 8, FASD: Diagnosis for the Legal Setting Snow R, Adler RS, UW School of Law: Fetal Alcohol Spectrum Disorders and the Criminal Justice System. King County Courthouse. March 1, 2011.
8 Page 8 of Fetal Alcohol Spectrum Syndrome: Its Relevance Throughout the Legal Process From Competency to Stand Trial to Clemency, Adler RS, Brown NN, 2010 Appellate Judicial Attorneys Institute, Administrative Office of the Courts: Education Division. Burlingame, CA. October 27, www2.courtinfo.gov 2010 Violence Risk Assessment in 2010: State of the Art as Seen Through a Wide Lens, Adler RS, Heavin S, McMinimee S Oregon- Washington Bi-State School Psychology Conference. Vancouver, WA. October 14, Creating a Tomorrow: Post-Mortem on a Death Verdict. Panel Member/Faculty, Full-day Continuing Legal Education Program, Washington Death Penalty Assistance Center. Seattle, WA. September 22, Fetal Alcohol Spectrum Disorder in the Courtroom: The 20 th Anniversary of Dr. Ann Streissguth at Airlie, (Plenary Session). Adler RS, Kase KM, Kelly K, Brown NN. NAACP Legal Defense Fund 31 st Annual Meeting. Airlie Conference Center, Warrenton, VA. July 10, FASD: Practicalities, (Breakout Session). Brown NN, Adler RS, Kase KM, Kelly K. NAACP Legal Defense Fund 31 st Annual Meeting. Airlie Conference Center, Warrenton, WA. July 10, Forensic Assessment of Fetal Alcohol Spectrum Disorders with State- Of-The-Art Facial Analysis, Diffusion Tensor Imaging, and MRIs, (Plenary Session). Adler RS, Brown NN, Connor PD, Wartnik AP. Habeas Assistance & Training Counsel Project, Seventh National Seminar on the Development and Integration of Mitigation Evidence: New Science, New Strategies. Seattle, WA. April 22, Suggestibility in FASD: Forensic Assessment and Implications, Adler RS, Brown NN, Connor PD, Wartnik AP. 4 th National Biennial Conference on Adolescents and Adults with Fetal Alcohol Spectrum Disorder: Facing the Future Together: Where Do We Go From Here? Vancouver, B.C. April 17, FASD: Application of the Scientific Method to the Forensic Setting. Adler RS, Brown NN, Connor PD. Texas Criminal Defense Lawyers Association Annual Capital Trial/Habeas Seminar. Austin, TX. February 25, 2010.
9 Page 9 of Fetal Alcohol Syndrome: Practical Tools Adler RS, Brown NN, Connor PD, Wartnik AP. 3 rd Interdisciplinary Program, University of Washington School of Law & The Washington Death Penalty Assistance Center: Expertise You Need To Defend A Capital Case In Seattle, WA. February 6, Testamentary Capacity: Why, When and How to Use a Mental Health Expert. King County Bar Association. 12 th Annual Probate, Trust and TEDRA Litigation Conference. Rainier Square Conference Center, Seattle, WA. December 4, Fetal Alcohol Spectrum Disorder in the Educational Context. Lake Washington School District In Service. October 24, Vetting The Expert: Why, When and How & Bringing It All Home (Adler RS co-presented with Seattle attorney Jeff Robinson of Shroeter, Goldmark & Bender). TeamChild Benefit CLE Collaboration Between Attorneys and Mental Health Experts: Beyond the Basics. Seattle, WA. October 3, Parenting Evaluations A Critical Review and Practice Skills Washington State Bar Association Continuing Legal Education, Washington State Convention and Trade Center. Seattle, WA. August 8, 2007 and Doubletree Inn, Suite B, Spokane, WA, August 21, & 2006 How to Help Your Client Survive a Parenting Evaluation in Washington National Business Institute Seminar, Washington State Convention and Trade Center, Seattle, WA. November 5, 2004; November 10, Child Abuse and Neglect Western State Hospital Forensic Seminar Series, Greg Gaggliardi, Ph.D., Seminar Director Pediatric Psychopharmacology: The Cutting Edge Washington State and British Columbia Associations of School Psychologists Fall Conference, Vancouver, B.C Pediatric Psychopharmacology: The Cutting Edge Child and Adolescent Neuropsychiatry Conference, Children s Hospital and Regional Medical Center, Seattle, WA The Broad Bandwidth of Autism Spectrum Disorders Child and Adolescent Neuropsychiatry Conference, Children s Hospital and Regional Medical Center, Seattle, WA.
10 Page 10 of No Need to Panic: Anxiety Disorders Update for the Clinician." Child and Adolescent Neuropsychiatry Conference, Children s Hospital and Regional Medical Center, Seattle, WA The Transition from Resident to Medical Director, American Psychiatric Annual Meeting, Course: Administration in Austerity. Paul Rodenhauser, M.D., Course Director Adler RS, Jellinek MS. Special Article: After Teen Suicide: Issues for Pediatricians Who Are Asked to Consult to Schools. Pediatrics. 86:6, Adler RS. Out-of-Control Behavior. The Massachusetts General Hospital: Psychiatric Aspects of General Hospital Pediatrics. Jellinek MS, Herzog DB, Eds. Chicago: Year Book Medical Publishers, pp Adler RS, Jellinek M. Suicide. Ibid. pp Adler RS, Nafradi J, Szabo S. Cysteamine-induced Duodenal Ulcer is not Site-specific: Effect of Local Modulating Factors. J. Experimental Pathology 2:2, Adler RS, Gallagher GT, Szabo S. Duodenal Ulcerogens Cysteamine and Proprionitrile Decrease Duodenal Neutralization of Acid in the Rat. Digestive Diseases and Sciences 28:8,
ACADEMIC HISTORY: JEROLD M. GRODIN, Ph.D. 526 Maple Avenue Saratoga Springs, New York 12866 Tel.: (518) 587-4161 Fax: (518) 587-5134 1985-1988 Postdoctoral Program in Psychotherapy 1983 Ph.D. Counseling
CURRICULUM VITAE H. Westley Clark, M.D., J.D., M.P.H., CAS, FASAM Director, Center for Substance Abuse Treatment Substance Abuse and Mental Health Services Administration Department of Health & Human Services
VITA BART FERRARO, Ph.D. PERSONAL DATA Addresses: Meridian Psychological Associates, P.C. 4401 North Central Avenue 46205 Telephone (317) 923-2333 EDUCATION Internship, September, 1982- Indiana University
Danielle Audet, Psy.D. Page 1 of 7 Danielle C. Audet, Psy.D. Massachusetts General Hospital Law and Psychiatry Service Juvenile Court Consultation Program One Bowdoin Square, 15 New Chardon Street Boston,
CARL DENNIS REDICK, Psy.D. CURRICULUM VITA ADDRESS: Western State Hospital Center for Forensic Services Program for Forensic Evaluations in Corrections and the Community C-18 9601 Steilacoom Blvd., S.W.
CURRICULUM VITAE Diplomate in Psychiatry, American Board of Psychiatry and Neurology, 2009 Diplomate in Forensic Psychiatry, American Board of Psychiatry and Neurology, 2011 PERSONAL STATEMENT I am a highly
CURRICULUM VITAE Nancy Williger, MSW, Ph.D. 225 S. Meramec, Suite 432T Clayton, MO 63105 Phone: 314 993-4001, Fax: 314 721-6778 EDUCATION 1987 Doctor of Philosophy, St. Louis University Major: Clinical
Brooke Kraushaar, Psy.D. Licensed Psychologist St. Louis Behavioral Medicine Institute 1129 Macklind Avenue St. Louis, MO 63110 (314) 534-0200 Email: email@example.com Education: University of
John M. Greene, M.D. 15466 Los Gatos Blvd #109-206 Los Gatos, CA 95032 408-291-8588 408-356-0607 fax MEDICAL LICENSES California BOARD CERTIFICATION January 2003 April 2003 Diplomate, American Board of
RICHARD S. ADLER, M.D. Forensic & Clinical Psychiatry 1700 Seventh Avenue, Suite 210 Seattle, WA 98101 (206)624-3800 Office (206)624-3801 Facsimile firstname.lastname@example.org www.richardadlermd.com PRACTICE DESCRIPTION
C U R R I C U L U M V I T A E Date: 2011 Name : Jeffrey Mark Fliesser, M.D. Business Address: 24 Cathedral Place, Suite 605 32084 904-819-0936 Qualifications and Certifications: 1990 Diplomate of the National
BROWN UNIVERSITY SCHOOL OF MEDICINE AFFILIATED CHILD AND ADOLESCENT PSYCHIATRY RESIDENCY TRAINING PROGRAM The Division of Child and Adolescent Psychiatry, located within the Department of Psychiatry and
C U R R I C U L U M V I T A E Date: 2014 Name : Jeffrey Mark Fliesser, M.D. Business Address: 24 Cathedral Place, Suite 603 Saint Augustine, Florida 32084 904-669-5470 Qualifications and Certifications:
Mary H. Spillane Two Union Square 601 Union Street, Suite 4100 Seattle, Washington 98101 Office: (206) 628-6656 Fax: (206) 628-6611 Email: email@example.com Mary Spillane, a member in the Seattle
Carlos Albizu García 1 Carlos F. Albizu-García, Ph.D. 1061 Lattimore Drive Clermont, FL 34711 Mobile: 321-217-0049 Home Phone: 352-404-8002 Email: firstname.lastname@example.org Education Caribbean Center for
Steven P. Barnett, MD Phone: (888) 853-7944 Fax: (213) 377-5152 Personal Information: Administrative Address: Birthdate/place: California Medical Evaluators, Inc. 11620 Wilshire Blvd, Suite 340 Los Angeles,
JED H. WEITZEN, PH.D. 118 North Tioga Street/Suite 302 Ithaca, New York 14850 (607)273-6946; FAX (607)256-1680 email: email@example.com website: www.cayugacomp.com CURRICULUM VITAE VALID LICENSES: New
Curriculum Vitae Name: E-Mail: Place of Birth: David Mee-Lee, M.D. (Australian equivalent is M.B., B.S.) M.S. firstname.lastname@example.org Brisbane, Queensland, Australia Education 1972 M.B., B.S., Bachelor
VITA Richard G. Salamone, Ph.D. 739 Bluff City Hwy, Suite 2 37620 Telephone/Fax: 423-968-3099/7385 E-mail: email@example.com January 2013 EDUCATION Bucknell University B.A. 1980 Economics Lewisburg,
New York City Children s Center (NYCCC) Queens Campus (Formerly known as Queens Children s Psychiatric Center) 74-03 Commonwealth Blvd. Bellerose, New York 11426 (718) 264-4500 Psychology Extern Training
APA~APPROVED PRE-DOCTORAL INTERNSHIPS IN PSYCHOLOGY 2014-2015 1 THE INTERNSHIP IN CLINICAL PSYCHOLOGY The pre-doctoral internship in clinical psychology at Franciscan Hospital for Children (FHC) is a full-time,
CURRICULUM VITAE Name: LISA B. NAMEROW, M.D. Address: 36 Bainbridge Road West Hartford, CT 06119 Telephone: (860) 523-7876 (home) (860) 545-7493 (work) Date of Birth: December 22, 1961 Citizenship: United
, Psy. D., M.B.A. 203-288-6688 (office) Education University of Hartford, Hartford, Connecticut M.B.A., Healthcare Administration Wright State University, Dayton, Ohio Psy. D., Clinical Psychology University
CURRICULUM VITA ROBERT E. COCHRANE, Psy.D., ABPP 8601 Six Forks Rd., Suite 400, Raleigh, NC 27615 919.575.3900 firstname.lastname@example.org EDUCATION Psy.D. in Clinical Psychology, Wright State University,
Curriculum Vitae Personal contact information: 2450 Windrow Dr. #E-201 email@example.com Fort Collins, CO 80525 970-689-2152 Practice Location:, P.C. Fort Collins, CO 80524 BOARD CERTIFICATION IN CLINICAL
Grinstead Treatment and Training Services Biographical Information Stephen F. Grinstead, Dr. AD, LMFT, ACRPS, CADC-II Dr. Grinstead is author of the book Freedom from Suffering: A Journey of Hope as well
Resume Janice Wilmoth, Ph.D, Psy.D, LCAS, CCS EDUCATION: CERTIFICATIONS/ LICENSES: Ph.D in Psychology, Miami Institute of Psychology, Miami Psy.D in Clinical Psychology Concentration in Neuropsychology,
ALAN M. JAFFE, PSY.D. CURRICULUM VITAE 25 EAST WASHINGTON ST. TEL. 312/346-2640 SUITE 2001 FAX 312/346-2662 CHICAGO, IL 60602 EMAIL: firstname.lastname@example.org LICENSURE Licensed Psychologist, State of Illinois
Curriculum Vitae Lawrence B. Erlich, M.D. CERTIFICATIONS: Lawrence B. Erlich, M.D. 1530 Celebration Blvd. Suite 406 Celebration, Florida 34747 (407) 852-8882 (407) 830-5252 1974 -!American Board of Psychiatry
M a t t h e w B e n n e t t P a g e 1 Addendum B1.1 Matthew D. Bennett EDUCATIONAL HISTORY 1033 W Micheltorena St Santa Barbara, CA 93101 (805) 804-7230 Email: DrMBennett@gmail.com Georgia School of Professional
Cynthia E. Jones Teaching Experience Assistant Professor of Law Fall 2004-present Visiting Professor 2002-2004 Courses: Evidence, Criminal Law, Criminal Procedure and Race, Crime and Politics seminar George
EDUCATIONAL BACKGROUND VITAE RICHARD F. SPIEGLE, PSY.D. Institution Dates Major Degree University of Denver, School of Professional Psychology (APA Approved; Clinical) University of Northern Colorado Bowling
Practical Strategies to Address the Behavioral Health Needs of Children and Families in Rural America September 21-23, 2010 Renaissance Glendale Hotel Featured Presenters Gary Blau, Ph.D. Chief, Child,
CHRISTOPHER JACOB REISS, B.A., M.A., PH.D. Offices 1440 York Avenue, New York, NY 10021 (212) 517-7755 Last Resort Farm, Scottsville, VA 24590 (434) 286-9000 Sea Oaks Club, Vero Beach, FL 32963 (561) 234-6323
Bridget A., PsyD Licensed Psychologist Front Range Psychological Associates, LLC 526 Briggs Street Erie, CO 80516 (303) 828-3080 Drengel@frontrangepsychology.com Education Doctor of Psychology in Clinical
CURRICULUM VITA SIDNEY KEITH NELSON, Ph.D. July 2014 Licensed Psychologist - PSY6474 Business Address: Scripps Psychological Associates, Inc. 1012 19 th Street Sacramento CA 95811 Business Telephone: (916)
Curriculum Vita Tammie D. Moore, PhD 1 Tammie D. Moore, Ph.D., HSP-P Licensed Psychologist & NC Board Health Services Provider President & Founder Western Wake Counseling & Psychological Services, PLLC
Erik Bohlin, M.A. New Hope Counseling Service 403 91 st Avenue NE, Suite 8 Lake Stevens, WA 98258 (425) 334-8916 (Work) email: email@example.com E d u c a t i o n Chapman University 1990 Orange, California
Clay, CV, 2011 1 Diedra L. Clay, Psy.D. Practice Office Argosy University, Seattle 2800 E. Madison St., Suite 302 2601 A Elliott Ave. Seattle, WA 98112 Seattle, WA 98121 Phone: (206) 853-8257 Phone: (206)393-3542
RONALD H. ROBERTS, Ph.D., ABPP 2000 Van Ness Ave., Suite 512 San Francisco, CA 94109 Tel. (415) 776-2000 firstname.lastname@example.org Fax (415) 776-2001 CURRICULUM VITAE (January, 2015) PSYCHOLOGY LICENSE: JANUARY,
CURRICULUM VITAE H. Leveta Horne, Ph.D. July 2012 Office Address 2101 Park Center Dr. Suite 270 Orlando, FL 32835 407.523.1213 (phone) 407.523.2398 (fax) LHornePhD@gmail.com EDUCATION Ph.D. M.S. The Florida
U.S. Bureau of Labor Statistics Psychologists Summary Psychologists diagnose and evaluate mental and emotional disorders. 2012 Median Pay Entry-Level Education Quick Facts: Psychologists Work Experience
LAURA M. DELIZ BAUZÁ (787)- 233-1426 LDELIZPSYD@GMAIL.COM EDUCATION April 2007- present Interdisciplinary Council for Learning and Developmental Disorders (ICDL) Bethesda, Maryland Certification as a Developmental
Robert Edelman, Ed.S., Licensed Mental Health Counselor Village Counseling Center 4001 Newberry Road, Suite E II Gainesville, FL 32607 Phone: (352) 373 8189 Fax: (352) 373 8190 email@example.com
Curriculum Vitae HERBERT V. LARSON, JR. Office: Tulane University School of Law Office: Schonekas, Winsberg, Evans & McGoey John Giffen Weinmann Hall, Room 259 D 650 Poydras Street, Suite 2105 6329 Freret
EDUCATION September 2009 - May 2009 May 2004 December 1998 Graduate Center, City University of New York, New York, NY John Jay College of Criminal Justice Ph.D. in Clinical Psychology, expected graduation
CURRICULUM VITAE Licensed Psychologist 22344 SW Main St., Sherwood, OR 97140 (503) 625-2768 Fax (503) 625-3768 Jacqueline@SmockvilleCounseling.com Educational Experience 1997 Doctor of Clinical Psychology
1 Robert Kelly Michael, Ed.D., M.N., R.N., P.P.C.N.P.-B.C. Assistant Professor Department of Nursing Angelo State University, ASU Station #10902, San Angelo, TX 76909 (325) 486-6851 firstname.lastname@example.org
Matthew Capezzuto, Ph.D., MSSA, LISW-S 31170 Muirfield Way, Westlake, Ohio 44145 (440) 666-4712 TEACHING Argosy University Assistant Professor, College of Psychology and Behavioral Sciences 2008-present
MANUEL DAVID TOBIAS, Ph.D. 9255 Town Centre Dr. Suite 875 San Diego, California 92121 Phone 858-362-8779 Fax-858-455-5556 PROFESSIONAL EXPERIENCE Qualified Medical Examiner- State of California, Division
8629 Bluejacket, Suite 100 Lenexa, Kansas 66214-1604 Telephone: (913) 677-3553 CURRICULUM VITA Marc Alan Schlosberg, Ph.D. LICENSURE Kansas Licensed Psychologist, License Number 832 California Licensed
Gail Margoshes, Psy.D. Education: PostDoctoral Training: 19881994 The BaltimoreWashington Institute for Psychoanalysis, Laurel, MD Graduated: January 29, 1994 Graduate School: 1978.1982 Nova University
S t e p h e n G. N e w t o n, P h. D. L i c e n s e d P s y c h o l o g i s t - P S Y 1 3 2 5 9 851 Fremont Avenue, Suite 103 650.949-2440 Los Altos, California 94024 email@example.com Areas
ψ Jason Spielman, Psy.D. ψ Weston, Florida 33326 (954) 217-1757 - DrSpielman@nbiweston.com Professional Experience Psychologist, NeuroBehavioral Institute, Weston, Florida Director of Program Services.
Kesia Constantine, Ph.D. Clinical Associate Professor Department of Applied Psychology New York University 246 Greene Street, room 709 New York, NY 10003 firstname.lastname@example.org Ph.D. in Counseling Psychology
Department of Counselor Education P & I Clinical Site Development Site Information Form Instructions for the Site Representatives: Please type your responses to the following questions in the fields provided.
Karen G. Pounds 1 Karen G. Pounds PhD, PMHCNS, BC Northeastern University Bouve College of Health Sciences School of Nursing Robinson Hall Boston, Ma. 02115 (617) 373-8228 email@example.com Formal Education
PROFESSIONAL EXPERIENCE CURRICULUM VITAE Kimberly D. Ambrose Senior Lecturer, University of Washington School of Law William H. Gates Hall PO Box 85110 Seattle, Washington 98145-1110 (206) 543-3434 firstname.lastname@example.org
CURRICULUM VITAE NAME: John Namon Hartson, Ph.D. EDUCATION: Postdoctoral Clinical Fellowship in Pediatric Psychology, 1985 University of Iowa College of Medicine University of Iowa Hospitals and Clinics
G. Katie Dashtban, M.A., Psy.D. Licensed Clinical Health Psychologist CA License #: PSY22256 Work Address: Medical Psychology Services, Inc. 820 Bay Avenue, Suite 248 Capitola, CA 95010 Ph: (831) 621-1150
CURRICULUM VITAE SUE ELLEN ANTELL, PH.D., ABPN, ABPP, FACPN CLINICAL AND FORENSIC NEUROSCIENCE Florida Office Baltimore Area Office 551 NW 77 th Street 815 Ritchie Highway Suite 207 Suite 108 Boca Raton,
DONA PLAYTON 1506 Whitman Street Laramie, WY 82070 email:email@example.com EXPERIENCE INTERIM FACULTY DIRECTOR: University of Wyoming College of Law, Legal Services Program. Supervise the clinic operated
2828 Speer Blvd., Unit 118 Denver, CO 80211 Office (303) 455-9480 Email: Vicordero@aol.com Offices in Denver, Greeley, Longmont EDUCATION and PROFESSIONAL CREDENTIALS Colorado Psychologist License Number
Curriculum Vitae Myrna J. Glick, Ph.D., FABPS Licensed Psychologist Specializing in Clinical, Educational and Forensic Psychology 798 Cass Street, Suite 202 Monterey, CA 93940 831-646-9330 FAX 831-649-5070
Post-Doctoral Fellowship in Clinical Psychology 2016-2017 Child and Family Psychological Services Inc./Integrated Behavioral Associates is a multi-disciplinary behavioral health care group dedicated to
Psychology CLINICAL PRIVILEGE WHITE PAPER Psychology Background Psychology is a broad field that includes the scientific study of mental processes and behavior. It is similar to the medical field of psychiatry.
Curriculum Vitae Maureen Donohue-Smith, Ph.D., RN E-mail: firstname.lastname@example.org EDUCATION: 1966-1968 Pennsylvania State University B.A.; English Literature 1972-1974 University of Pennsylvania B.S.;
Curriculum Vitae License #36024 The Physician s Centre 3131 University Drive East Bryan, TX 77802 (979) 450-5320 email@example.com www.drrockett.org Education Ph.D. (2009) M.A. (2005) B.A.