Lara Leishman is a Psychologist in Slc, Utah. Lara Leishman practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lara Leishman is 1215197264. The last update date is 2014-11-25.
Lara Leishman's current location address is 231 E 400 S, Slc, Utah. You can contact this provider via phone number 8013631189 and fax number 8013631198. The mailing address for Lara Leishman is 231 E 400 S, Slc, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara Leishman |
|---|---|
| Address | 231 E 400 S, Slc, Utah |
| Phone Number | 8013631189 |
| Fax Number | 8013631198 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1215197264 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2014-11-25 |
Provider Mailing Address Detail
| Address | 231 E 400 S |
|---|---|
| City | Slc |
| State | Utah (UT) |
| Post Code | 841112830 |
| Phone Number | 8013631189 |
| Fax Number | 8013631198 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6295108-2501 |
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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 proce |
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What is the unique identification code assigned to Lara Leishman by the Centers for Medicare & Medicaid Services?
The Lara Leishman has been issued the NPI (National Provider Identifier) 1215197264. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lara Leishman's facilities are situated?
The facilities of Lara Leishman are physically located at the following address: 231 E 400 S, Slc, UT, 841112830.
What is Lara Leishman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lara Leishman is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215197264 to Lara Leishman?
The Centers for Medicare & Medicaid Services assigned the 1215197264 to Lara Leishman on 2008-06-12.
When was the information regarding Lara Leishman most recently updated?
The details pertaining to the Lara Leishman, including its address, specialty, and other relevant information, were last refreshed on 2014-11-25.