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Contact Information

LORA ISRAELSEN, PHD
6405 OLD MAIN HILL
LOGAN, UT84322-0001
 Phone: 435-797-4200
 Fax: 844-308-5865
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LORA ISRAELSEN · (Female)

NPI # 1841973930
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/07/2023
Last updated 08/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 13456930-2501
Hospital affiliation(s) Not Available
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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