Individual
DR. LAURIE ANN SULLIVAN-SAKAEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
354 W WRATHALL LN, GRANTSVILLE, UT 84029-9375
(801) 915-5019
(435) 884-0868
Mailing address
354 W WRATHALL LN, GRANTSVILLE, UT 84029-9375
(801) 915-5019
(435) 884-0868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
355022-2501
UT
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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