Individual
DR. LAUREN G. MASUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
500 FOOTHILL DR # 182H, SALT LAKE CITY, UT 84148-2522
(801) 582-1565
Mailing address
175 S MAIN ST STE 840, SALT LAKE CITY, UT 84111-1924
(385) 707-1193
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9531678-2501
UT
Other
Enumeration date
02/15/2016
Last updated
01/18/2022
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