Individual provider · Type 1 NPI

Eliza Rachelle Gedge, PhD, LP

Clinical Psychologist · Provo, UT

NPI number 1003197658 Active

Practice location

750 N Freedom Blvd
Provo, UT 84601-1677

Call (801) 373-0639 Map

Fax (801) 373-0639

Other practice locations

  • 114 Orchard Lake Rd, Pontiac, MI 48341-2244 · (248) 858-7766

Specialties and licenses

TaxonomyCodeLicense
Counseling Psychologist 103TC1900X6301014858 (MI)
Clinical Social Worker 1041C0700X12966150-2501 (UT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Psychologist Primary 103TC0700X12966150-25801 (UT)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1003197658

Eliza Rachelle Gedge, PhD, LP's National Provider Identifier is 1003197658, issued on Sep 8, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Provo, UT. The record was last updated on Apr 2, 2024.