Individual
DR. LAVINA LEANNE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-4210
(720) 591-2136
Mailing address
2619 BAR HARBOR DR, FORT COLLINS, CO 80524-2607
(505) 328-0853
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
PSY.0004785
CO
Other
Enumeration date
06/20/2013
Last updated
12/10/2019
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