| Katie Elish, LMLP | |
|
5770 S 1500 W, Salt Lake City, UT 84123-5216 | |
| (801) 313-7770 | |
| (801) 313-7771 |
| Full Name | Katie Elish |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 5770 S 1500 W, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558714261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 2701 (Kansas) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 10946698-2501 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Elish, LMLP Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Katie Elish, LMLP 5770 S 1500 W, Salt Lake City, UT 84123-5216 Ph: (801) 313-7770 |
Dr. Rachel Leigh Hopkins, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 164 S 900 E, Salt Lake City, UT 84102 Phone: 801-419-0139 Fax: 385-227-8099 | |
Megan Wall, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 464 E 3rd Ave, Salt Lake City, UT 84103 Phone: 609-462-5974 | |
Dr. Charlotte J Ferrin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1399 S 700 E, Suite 11, Salt Lake City, UT 84105 Phone: 801-231-5795 | |
Kelly Stout, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 295 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-213-3469 | |
Jordan Kugler, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 170 S 1000 E Ste 201, Salt Lake City, UT 84102 Phone: 402-578-7426 | |
Bruce Dennis Etringer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S Ste 250, Salt Lake City, UT 84106 Phone: 801-467-8890 Fax: 801-484-3862 | |
Dr. Ann H Tyler, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4505 So Wasatch Blvd, Suite #380, Salt Lake City, UT 84124 Phone: 801-273-7835 |