Individual
DR. HEATHER LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 581-8280
Mailing address
426 N ORCHARD DR APT 6, NORTH SALT LAKE, UT 84054-3137
(951) 532-2115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
12205695-2506
UT
103T00000X
Psychologist
Primary
12205695-2504
UT
Other
Enumeration date
01/02/2024
Last updated
12/08/2024
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