Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eliza Rachelle Gedge, PHD, LP

Individual provider Counseling Psychologist · NPI 1003197658

Eliza Rachelle Gedge, PHD, LP is a Counseling Psychologist in Provo, Utah. Works from 2 locations. Licensed in Michigan and Utah.

Licensed in
MI, UT
In the registry since
2011
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-0639
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 12966150-25801 (UT)
Counseling Psychologist Taxonomy 103TC1900X · Licence 6301014858 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 12966150-2501 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003197658
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorNo
NPI enumeratedSeptember 8, 2011
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

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