Individual
DR. LISA L ANSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7533 S CENTER VIEW CT STE R, WEST JORDAN, UT 84084-5526
(228) 200-1100
(228) 200-1097
Mailing address
879 E 1510 N, NORTH OGDEN, UT 84404-7770
(228) 200-1100
(228) 200-1097
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
53926
MS
103TC0700X
Clinical Psychologist
Primary
8073852-2501
UT
103TC2200X
Clinical Child & Adolescent Psychologist
53926
MS
Other
Enumeration date
08/01/2012
Last updated
06/02/2025
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