Individual
DR. LAUREN MICHELE WEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24 S 1100 E STE 303, SALT LAKE CITY, UT 84102-4307
(801) 680-2941
Mailing address
579 E 13TH AVE, SALT LAKE CITY, UT 84103-3234
(801) 680-2941
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
287222-2501
UT
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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