Organization
SL PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN MASUDA PSYD, ABPP (MANAGER)
(385) 707-1193
Entity
Organization
Contact information
Practice address
1371 E 2100 S STE 102, SALT LAKE CITY, UT 84105-3731
(385) 707-1193
Mailing address
1371 E 2100 S STE 102, SALT LAKE CITY, UT 84105-3731
(385) 707-1193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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