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Nathanael W Ridge, PA,PHD
Medical Physician Assistant in Murray, Utah
NPI 1134424641

Nathanael W Ridge is a Medical Physician Assistant based in Murray, UT and is specialized in Medical. Nathanael W Ridge practices in Murray, UT and has the professional credentials of PA,PHD. The NPI Number for Nathanael W Ridge is 1134424641 and holds a License No. 68336662501 (Utah).

The current practice location address for Nathanael W Ridge is 5770 S 250 E, Murray, UT and can be reached out via phone at 801-747-8700 and via fax at 801-747-8701. You can also correspond with Nathanael W Ridge through the mailing address at 5770 S 250 E, MURRAY, UT - 84107-8100 (mailing address contact number: 801-747-8700).

Location: 5770 S 250 E, Murray, UT, 84107-8100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134424641
Provider Name
Nathanael W Ridge
Credential
PA,PHD
Provider Entity Type
Individual
Gender
Male
Address
5770 S 250 E, Murray, UT, 84107-8100
Phone Number
801-747-8700
Fax Number
801-747-8701
Provider Enumeration Date
01/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780459016 01 UT NPPES
institution
Provider Business Practice Location Address Details
Address
5770 S 250 E
City
Murray
State
Utah
Zip
84107-8100
Phone Number
801-747-8700
Fax Number
801-747-8701
person
Provider Business Mailing Address Details
Address
5770 S 250 E
City
Murray
State
Utah
Zip
84107-8100
Phone Number
801-747-8700
Fax Number
801-747-8701
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
6833666-1206 (Utah)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
68336662501 (Utah)
Definition
Definition to come...
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