LAURA ANN BLEISTEIN

PROVO, UT
NPI1164682506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  Psy28404)
Enumeration Date2008-06-10
Last Update Date2023-03-22
Business Address
LAURA ANN BLEISTEIN PsyD
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400
Mailing Address
LAURA ANN BLEISTEIN PsyD
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400