Dr Laurie Ann Sullivan-sakaeda, PHD in Grantsville, UT - Psychologist

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.

Contact Information

	Dr Laurie Ann Sullivan-sakaeda, PHD
	354 W Wrathall Ln, Grantsville, UT 84029-9375
	(801) 915-5019
	(435) 884-0868

Healthcare Provider's Profile

Full Name	Dr Laurie Ann Sullivan-sakaeda
Gender	Female
Speciality	Psychologist - Clinical
Location	354 W Wrathall Ln, Grantsville, Utah
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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Dr Laurie Ann Sullivan-sakaeda, PHD - Psychologist in Grantsville, UT