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Contact Information

SPENCER W LIEBEL, PHD
650 S KOMAS DR STE 106A
SALT LAKE CITY, UT84108-1225
 Phone: 801-585-9350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for SPENCER W LIEBEL · (Male)

NPI # 1295309987
Status Active
Credentials PHD
Entity Individual
Enumeration date 05/17/2021
Last updated 11/18/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 7615273-2501
Hospital affiliation(s)
  • UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS - (Acute Care)
    50 NORTH MEDICAL DRIVE
    SALT LAKE CITY, UT 84132
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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