Sugerman, Lisa Michelle
Sugerman, Lisa Michelle is an sole proprietor health care provider with primary practice located at 389 W 10000 S Ste A , South Jordan UT 84095-4104. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Sugerman, Lisa Michelle can be contacted via phone (801) 716-4284.Contact Information
Primary practice address
389 W 10000 S Ste A
South Jordan UT 84095-4104
Phone: (801) 716-4284
Fax: (801) 433-0691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 6278375-2501 | Utah |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6278375-2501 | Utah |
Profile Details
| NPI number | 1619287208 |
|---|---|
| LBN Legal business name | Sugerman, Lisa Michelle |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2010 |
| Last updated | Jun 7th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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