Brockbank, Laura Lyn
Brockbank, Laura Lyn is an sole proprietor health care provider with primary practice located at 1399 S 700 E Suite 7, Salt Lake City UT 84105-2149. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Brockbank, Laura Lyn can be contacted via phone (801) 483-3068.Contact Information
Primary practice address
1399 S 700 E Suite 7
Salt Lake City UT 84105-2149
Phone: (801) 483-3068
Fax: (801) 483-3072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 363425-2501 | Utah |
Profile Details
| NPI number | 1780720888 |
|---|---|
| LBN Legal business name | Brockbank, Laura Lyn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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