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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA MICHELLE SUGERMAN-HERMANSEN, PHD

Active Sole Proprietor

LISA MICHELLE SUGERMAN-HERMANSEN, PHD is a Clinical Neuropsychologist healthcare provider located in SALT LAKE CITY, Utah. NPI 1619287208 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · SALT LAKE CITY, UT

Registration Details

NPI Number
1619287208
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2010 (15.795375803982 yrs)
Last Updated
Oct 29, 2024
Licenses
6278375-2501 (UT)
6278375-2501 (UT)
Sole Proprietor
Yes

Practice Information

Address
3838 S 700 E STE 101
SALT LAKE CITY, UT, 841061494
Browse UT providers · Browse ZIP 84106
Phone
8017164284
Fax
8014330691
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. MARY K HALES PH.D 1538137179
DR. JUAN A. MEJIA PH.D. 1831150374
DAVID TATE PHD 1568427664
JULIEN T SMITH PHD 1326069022
DR. KELLY D GARRETT PHD 1245251776
DR. JENISE JENSEN PHD 1366534943
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.