Individual
LISA MICHELLE SUGERMAN-HERMANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3838 S 700 E STE 101, SALT LAKE CITY, UT 84106-1494
(801) 716-4284
(801) 433-0691
Mailing address
3838 S 700 E STE 101, SALT LAKE CITY, UT 84106-1494
(801) 716-4284
(801) 433-0691
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6278375-2501
UT
103TC0700X
Clinical Psychologist
6278375-2501
UT
Other
Enumeration date
10/15/2010
Last updated
10/29/2024
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