Provider Demographics
NPI:1699211466
Name:HEALTH PSYCHOLOGY ASSOCIATES LLC
Entity Type:Organization
Organization Name:HEALTH PSYCHOLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:YELSA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-842-3156
Mailing Address - Street 1:2911 W ALLRED CIR
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84129-2213
Mailing Address - Country:US
Mailing Address - Phone:801-842-3156
Mailing Address - Fax:801-581-6243
Practice Address - Street 1:2911 W ALLRED CIR
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84129-2213
Practice Address - Country:US
Practice Address - Phone:801-842-3165
Practice Address - Fax:801-581-6243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3393702501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty