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NPI Code Detail

MEDICARE: DR. ELIZABETH A FIRTH PH.D.

MEDICARE: DR. ELIZABETH A FIRTH PH.D.
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
1103TC0700XClinical Psychologist325144-2501UT
2225400000XRehabilitation Practitioner
3103T00000XPsychologist325144-2501UT

General Provider Information

NPI Number : 1699954230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH A FIRTH PH.D.
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-358-5595
Fax Number :
Provider Business Practice Location Address
First Line : 9980 S 300 W STE 300
Second Line :
City : SANDY
State : UT
Zip : 84070-3654
Country : US
Telephone Number : 801-432-0376
Fax Number : 801-591-2500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2007
Last Update Date : 12/11/2025

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