Individual
DR. LAWRENCE DALTON BEALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
32 W WINCHESTER ST, SUITE 101, SALT LAKE CITY, UT 84107-5607
(801) 263-6367
(801) 263-6370
Mailing address
10039 COUNTRYWOOD DR, SANDY, UT 84092-3746
(801) 555-3061
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
270228-2501
UT
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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