Individual
GARY MICHAEL LEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-8084
Mailing address
1943 KAYS CREEK DR, LAYTON, UT 84040-8243
(801) 554-7395
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/26/2019
Last updated
05/16/2022
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