RYAN J LACKNER

SALT LAKE CITY, UT
NPI1811527468
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: UT  11448769-2501)
Enumeration Date2020-01-23
Last Update Date2020-01-23
Business Address
Dr. RYAN J LACKNER PhD
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Mailing Address
Dr. RYAN J LACKNER PhD
975 E GARFIELD AVE APT 2
SALT LAKE CITY, UT 84105-3377
Phone number: 574-360-6884