Whalio Doctors

NPI 1003197658

Eliza Rachelle Gedge, PHDLP

Practitioner Clinical Psychologist Provo, UT

Practice location

Address
750 N Freedom Blvd, Provo, UT 84601-1677
Phone
(801) 373-0639
Fax
(801) 373-0639

Registered specialties (4)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 12966150-25801 (UT)
Counseling Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC1900X Licence 6301014858 (MI)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 12966150-2501 (UT)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1003197658
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Sep 2011
Record last updated
2 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.