| Realign Psychology Llc | |
|
1042 E Fort Union Blvd #1085 Midvale UT 84047-1800 | |
| (801) 382-8702 | |
| Not Available |
| Full Name | Realign Psychology Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1042 E Fort Union Blvd, Midvale, Utah |
| Authorized Official Name and Position | Melissa Ellsworth (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2404788892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Realign Psychology Llc 1258 Piper Ln Eugene OR 97401-1868 Ph: (240) 478-8892 | Realign Psychology Llc 1042 E Fort Union Blvd #1085 Midvale UT 84047-1800 Ph: (801) 382-8702 |
| NPI Number | 1467073833 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 04/27/2020 |
| Certification Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467073833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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