Individual
TERA LEANN LENSGRAV-BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7852 W 600 N, MENDON, UT 84325-9706
(435) 753-3686
Mailing address
PO BOX 706, LOGAN, UT 84323-0706
(435) 755-0434
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6317743-2501
UT
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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