Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZA RACHELLE GEDGE, PH.D., LP
ActiveELIZA RACHELLE GEDGE, PH.D., LP is a Clinical Psychologist healthcare provider located in PROVO, Utah. NPI 1003197658 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · PROVO, UT
Registration Details
- NPI Number
- 1003197658
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 8, 2011 (14.889846763226 yrs)
- Last Updated
- Apr 2, 2024
- Licenses
-
6301014858 (MI)12966150-2501 (UT)12966150-25801 (UT)
Practice Information
- Address
-
750 N FREEDOM BLVDPROVO, UT, 846011677Browse UT providers · Browse ZIP 84601
- Phone
- 8013730639
- Fax
- 8013730639
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. ALLAN ROE | PH.D. | 1992703615 |
| MR. JUERGEN ERICH KORBANKA | PHD | 1386600450 |
| THEODORE TERRY | PHD | 1790892685 |
| RANDAL S PENNINGTON | PSYD | 1801903786 |
| LAWRENCE PAUL DUNNING | PH D | 1154432060 |
| RICHARD ALLEN MOODY | PSY.D. | 1922101849 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.