Lora Israelsen, PHD - Psychologist in Logan, UT

Lora Israelsen, PHD is a Psychologist - Clinical based in Logan, Utah. Lora Israelsen is licensed to practice in Utah (license number 13456930-2501) and her current practice location is 6405 Old Main Hill, Logan, Utah. She can be reached at her office (for appointments etc.) via phone at (435) 797-4200.

NPI number for Lora Israelsen is 1841973930 and her current mailing address is 6405 Old Main Hill, Logan, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841973930.

Contact Information

Lora Israelsen, PHD
6405 Old Main Hill,
Logan, UT 84322-0001
(435) 797-4200
(844) 308-5865

Map and Direction




Healthcare Provider's Profile

Full NameLora Israelsen
GenderFemale
SpecialityPsychologist - Clinical
Location6405 Old Main Hill, Logan, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841973930
  • Provider Enumeration Date: 08/07/2023
  • Last Update Date: 08/07/2023

Medical Identifiers

Medical identifiers for Lora Israelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841973930NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TM1800XPsychologist - Intellectual & Developmental Disabilities 13456930-2501 (Utah)Secondary
103TC0700XPsychologist - Clinical 13456930-2501 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lora Israelsen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lora Israelsen, PHD
6405 Old Main Hill,
Logan, UT 84322-6405

Ph: (435) 797-0576
Lora Israelsen, PHD
6405 Old Main Hill,
Logan, UT 84322-0001

Ph: (435) 797-4200

Reviews and Comments


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