Individual
SPENCER W LIEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
650 S KOMAS DR STE 106A, SALT LAKE CITY, UT 84108-1225
(801) 585-9350
Mailing address
2979 VERLE AVE, ANN ARBOR, MI 48108-1870
(208) 881-8216
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
7615273-2501
UT
Other
Enumeration date
05/17/2021
Last updated
11/18/2021
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