Individual
DR. LARA LEISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
231 E 400 S, SLC, UT 84111-2830
(801) 363-1189
(801) 363-1198
Mailing address
231 E 400 S, SLC, UT 84111-2830
(801) 363-1189
(801) 363-1198
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6295108-2501
UT
Other
Enumeration date
06/12/2008
Last updated
11/25/2014
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