Eliza Rachelle Gedge, PHD, LP | |
750 N Freedom Blvd, Provo, UT 84601-1677 | |
(801) 373-0639 | |
(801) 373-0639 |
Full Name | Eliza Rachelle Gedge |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 750 N Freedom Blvd, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003197658 | NPI | - | NPPES |
1883825 | Medicaid | MI |
Entity Name | Wasatch Behavioral Health Special Service District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014 |
Mailing Address | Practice Location Address |
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Eliza Rachelle Gedge, PHD, LP 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-0639 | Eliza Rachelle Gedge, PHD, LP 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-0639 |
Vaughn E Worthen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1545 Wsc, Provo, UT 84602 Phone: 801-471-6266 | |
Prof. Benjamin Mckay Ogles, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1190 N 900 E, Provo, UT 84604 Phone: 801-422-8193 | |
Dr. Kari A O'grady, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1508 Springdell Cir, Provo, UT 84604 Phone: 410-952-2207 | |
Michaela Shields, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215 | |
Dr. R. Lynn Richards, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1432 E. 850 S., Provo, UT 84606 Phone: 801-371-8787 Fax: 801-371-8784 | |
Dr. Max Ford Mcbride, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W, Suite 414, Provo, UT 84604 Phone: 801-357-7757 Fax: 801-357-8100 |