Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAURA LYN BROCKBANK, PH.D.
Active Sole ProprietorDR. LAURA LYN BROCKBANK, PH.D. is a Child, Clinical Psychologist healthcare provider located in SALT LAKE CITY, Utah. NPI 1780720888 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1780720888
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2007 (19.494490527869 yrs)
- Last Updated
- Jul 8, 2007
- License
-
363425-2501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1399 S 700 ESUITE 7SALT LAKE CITY, UT, 841052149Browse UT providers · Browse ZIP 84105
- Phone
- 8014833068
- Fax
- 8014833072
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Other Child, Clinical Psychologist Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DAVID ALAN ANSON | PH.D. | 1992776223 |
| DR. DOUGLAS FRANK GOLDSMITH | PH.D. | 1376570820 |
| DR. DONALD EMORY BECK | PH.D. | 1174625016 |
| DR. COLLEEN MARIE KUHN | PH. D. | 1467557314 |
| DR. ABBY JEAN GOTTSEGEN | P.H.D, NCSP | 1689704785 |
| JONATHAN COX | PHD | 1467614966 |
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.