MEDICARE: DR. HARVEY LAWRENCE RISHE PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	1089502501	UT
2	1041C0700X	Clinical Social Worker	1089503501	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396762118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARVEY LAWRENCE RISHE PHD

Provider Business Mailing Address
First Line	:	3940 W 4100 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120
Country	:	US
Telephone Number	:	801-966-3700
Fax Number	:	801-966-9421

Provider Business Practice Location Address
First Line	:	3940 W 4100 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120
Country	:	US
Telephone Number	:	801-966-3700
Fax Number	:	801-966-9421

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	09/11/2025

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