ELIZA GEDGE, PH.D., LP

Psychologist - Clinical

Active Individual
NPI: 1003197658

Practice Address

750 N FREEDOM BLVD
Provo, UT 84601

Phone: (801) 373-0639

Specialties

Specialty Code Primary License
Psychologist - Counseling 103TC1900X No 6301014858 (MI)
Social Worker - Clinical 1041C0700X No 12966150-2501 (UT)
Student in an Organized Health Care Education/Training Program 390200000X No -
Psychologist - Clinical 103TC0700X Yes 12966150-25801 (UT)

Frequently Asked Questions

NPI 1003197658 is the National Provider Identifier for ELIZA GEDGE, PH.D., LP, a Psychologist - Clinical provider located in Provo, UT. This NPI was enumerated on September 8, 2011.
ELIZA GEDGE, PH.D., LP practices at 750 N FREEDOM BLVD, Provo, UT 84601.

Quick Facts

NPI
1003197658
Type
Individual
Enumerated
Sep 8, 2011
Last Updated
Apr 2, 2024

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