Dr Laurie Ann Sullivan-sakaeda, PHD is a
Psychologist - Clinical based in Grantsville, Utah. Dr Laurie Ann Sullivan-sakaeda is licensed to practice in Utah (license number 355022-2501) and her current practice location is
354 W Wrathall Ln, Grantsville, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 915-5019.
NPI number for Dr Laurie Ann Sullivan-sakaeda is 1811230394 and her current mailing address is 354 W Wrathall Ln, Grantsville, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811230394.
Healthcare Provider's Profile
Full Name | Dr Laurie Ann Sullivan-sakaeda |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 354 W Wrathall Ln, Grantsville, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811230394
- Provider Enumeration Date: 04/03/2013
- Last Update Date: 04/03/2013
Medical Identifiers
Medical identifiers for Dr Laurie Ann Sullivan-sakaeda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811230394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 355022-2501 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Laurie Ann Sullivan-sakaeda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Laurie Ann Sullivan-sakaeda, PHD 354 W Wrathall Ln, Grantsville, UT 84029-9375 Ph: (801) 915-5019 | Dr Laurie Ann Sullivan-sakaeda, PHD 354 W Wrathall Ln, Grantsville, UT 84029-9375 Ph: (801) 915-5019 |
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