Search › Utah › 103TC0700X
Eliza Gedge, PH.D., LP
NPI 1003197658 · on the registry since 2011
Practice
- Address
- 750 N Freedom Blvd
Provo, UT 84601 - Phone
- (801) 373-0639
- Fax
- (801) 373-0639
- Organisation at this address
- Wasatch Mental Health
Wasatch Mental Health
Wasatch Mental Health
Wasatch Behavioral Health Special Service DistrictInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,547
Additional practice sites
- 114 Orchard Lake Rd, Pontiac, MI
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC1900X
1041C0700X
390200000X - Licence states on file
- MI, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah