DR. Lara Leishman, PHD

NPI #1215197264 in Slc, Utah

Provider Information

NPI Number: 1215197264
Entity Type: Individual
Name: DR. Lara Leishman, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jun 12, 2008
Last Updated: Nov 25, 2014

Practice Location

Address: 231 E 400 S
City: Slc
State: Utah
ZIP Code: 84111-2830
Phone: (801) 363-1189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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