Individual
LISA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4568 S HIGHLAND DR STE 260B, SALT LAKE CITY, UT 84117-4236
(435) 538-9899
(801) 355-4355
Mailing address
4568 S HIGHLAND DR STE 260B, SALT LAKE CITY, UT 84117-4236
(435) 538-9899
(801) 355-4355
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
95189262504
UT
Other
Enumeration date
02/29/2016
Last updated
09/02/2020
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