# SL PSYCHOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386487791
- **Authorized official:** DR. LAUREN MASUDA PSYD, ABPP (MANAGER)
- **Authorized official phone:** (385) 707-1193

## Contact information

- **Practice address:** 1371 E 2100 S STE 102, SALT LAKE CITY, UT 84105-3731
- **Practice address phone:** (385) 707-1193
- **Mailing address:** 1371 E 2100 S STE 102, SALT LAKE CITY, UT 84105-3731
- **Mailing address phone:** (385) 707-1193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2024
- **Last updated:** 06/13/2024