Healthcare Provider Details

I. General information

NPI: 1871575472
Provider Name (Legal Business Name): ELIZABETH JOY ALBERTSEN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3725 W 4100 S STE 200
WEST VALLEY CITY UT
84120-5427
US

IV. Provider business mailing address

3737 W 4100 S
WEST VALLEY CITY UT
84120-5543
US

V. Phone/Fax

Practice location:
  • Phone: 888-949-4864
  • Fax:
Mailing address:
  • Phone: 888-949-4864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number5202568-2501
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5202568-2501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: