IndividualActive
Laura Brockbank, PH.D.
NPI 1780720888 · Clinical Child & Adolescent Psychologist · Salt Lake City, UT
Provider details
- NPI number
- 1780720888
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 363425-2501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1399 S 700 E
Suite 7
Salt Lake City, UT 84105-2149
Phone: (801) 483-3068
Fax: (801) 483-3072
Approximate (ZIP-level) locationGet directions
Mailing address
1966 Lincoln Ln
Salt Lake City, UT 84124-2745
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.