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TERA LEANN LENSGRAV-BENSON PH.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1881868388

Individual Registrant:
 TERA LEANN LENSGRAV-BENSON PH.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
7852 W 600 N  MENDON, UT 84325-9706 US
Tel: 435-753-3686  Fax: --

Contact information for business:
PO BOX 706  LOGAN, UT 84323-0706 US
Tel: 435-755-0434  Fax: --

Registration Information:
NPI: 1881868388
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
UT6317743-2501

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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