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Victoria Northup, MA
Student in an Organized Health Care Education/Training Program in Provo, Utah
NPI 1457015810

Victoria Northup is a Student in an Organized Health Care Education/Training Program based in Sandy, UT. Victoria Northup practices in Provo, UT and has the professional credentials of MA. The NPI Number for Victoria Northup is 1457015810 and holds a License No. A0689 (Utah).

The current practice location address for Victoria Northup is 750 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-373-4760 and via fax at 801-373-0639. You can also correspond with Victoria Northup through the mailing address at 8326 S DURHAM ST APT E311, SANDY, UT - 84070-1263 (mailing address contact number: 301-448-0445).

Location: 750 N Freedom Blvd, Provo, UT, 84070-1263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457015810
Provider Name
Victoria Northup
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
750 N Freedom Blvd, Provo, UT, 84070-1263
Phone Number
801-373-4760
Fax Number
801-373-0639
Provider Enumeration Date
10/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd
City
Provo
State
Utah
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
person
Provider Business Mailing Address Details
Address
750 N Freedom Blvd
City
Provo
State
Utah
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
801-373-0639
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
A0689 (Maryland)
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 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A0689 (Maryland)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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