Laura Lyn Brockbank in Salt Lake City - Clinical Child & Adolescent
Laura Lyn Brockbank - NPI 1780720888
Laura Lyn Brockbank is a Clinical Child & Adolescent in Salt Lake City, Utah. Laura Lyn Brockbank practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Laura Lyn Brockbank is 1780720888. The last update date is 2007-07-08.
Laura Lyn Brockbank's current location address is 1399 S 700 E, Salt Lake City, Utah. You can contact this provider via phone number 8014833068 and fax number 8014833072. The mailing address for Laura Lyn Brockbank is 1399 S 700 E, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Lyn Brockbank |
|---|---|
| Address | 1399 S 700 E, Salt Lake City, Utah |
| Phone Number | 8014833068 |
| Fax Number | 8014833072 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1780720888 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1399 S 700 E |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 8410521490 |
| Phone Number | 8014833068 |
| Fax Number | 8014833072 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 363425-2501 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identifier code issued to Laura Lyn Brockbank by the Centers for Medicare & Medicaid Services?
The Laura Lyn Brockbank has been assigned the NPI (National Provider Identifier) 1780720888 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Laura Lyn Brockbank located?
The Laura Lyn Brockbank is located at 1399 S 700 E, Salt Lake City, UT 8410521490.
What is the Laura Lyn Brockbank's specialty and taxonomy code?
The Laura Lyn Brockbank's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
When was the Laura Lyn Brockbank's 1780720888 issued?
The Laura Lyn Brockbank's 1780720888 was issued on 2007-01-29.
As of what date were the details pertaining to Laura Lyn Brockbank last refreshed?
The information related to the Laura Lyn Brockbank, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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