DR. GAIL JOANNE LIESE (NPI# 1235100413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235100413 |
Entity Type | Individual |
Full Name | DR. GAIL JOANNE LIESE |
Credential | PH.D. |
Practice Address |
7309 S 180 W Midvale UT 84047-1020 |
Mailing Address |
462 S 1100 E Salt Lake City UT 84102-3116 |
Practice Telephone | 8015656800 |
Practice Fax Number | 8015699718 |
Mailing Telephone | 8013557265 |
Enumeration Date | 2006-01-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
2708742501 | UT | Behavioral Health & Social Service Providers |
Street Address |
7309 S 180 W |
City | MIDVALE |
State | UT |
Zip Code | 84047-1020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649260506 | Robert Brian Connor | Psychiatry & Neurology | 7309 S 180 W, Midvale, UT 84047-1020 | 2005-10-24 |
1215587092 | Phc of Utah, Inc. | Psychiatric Residential Treatment Facility | 7309 S 180 W, Midvale, UT 84047-1020 | 2019-09-13 |
1306407119 | Tiffany Youngberg | Counselor | 7309 S 180 W, Midvale, UT 84047-1020 | 2019-06-24 |
1912435421 | Kyle Olson | Nurse Practitioner | 7309 S 180 W, Midvale, UT 84047-1020 | 2017-05-28 |
1699121913 | Kristen Mari Brown | Nurse Practitioner | 7309 S 180 W, Midvale, UT 84047 | 2016-05-05 |
1033513429 | Dr Robert Connor PC | Psychiatry & Neurology | 7309 S 180 W, Midvale, UT 84047-1020 | 2014-10-15 |
1649568452 | Anni Butterfield | Social Worker | 7309 S 180 W, Midvale, UT 84047-1020 | 2011-07-13 |
1205124021 | Nancy Lieu | Social Worker | 7309 S 180 W, Midvale, UT 84047-1020 | 2011-07-13 |
1679752422 | Lezli Burt | Social Worker | 7309 S 180 W, Midvale, UT 84047-1020 | 2007-10-29 |
1871504159 | Phc of Utah, Inc. | Psychiatric Hospital | 7309 S 180 W, Midvale, UT 84047-1020 | 2006-08-11 |
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---|---|---|---|---|
1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
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Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467073833 | Realign Psychology LLC | Psychologist | 1042 E Fort Union Blvd, #1085, Midvale, UT 84047-1800 | 2020-04-27 |
1447382494 | Victoria D Burgess | Psychologist | 963 E 7400 S, #304, Midvale, UT 84047-5678 | 2007-03-12 |
1497725055 | Robert Kenneth Strachan | Psychologist | 7434 S State St, Midvale, UT 84047-2014 | 2006-01-25 |
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1508404344 | Rith Counseling and Assessment Pllc | Psychologist | 10432 S 4000 W, South Jordan, UT 84009-5729 | 2019-12-11 |
1780230433 | Carolynne Elizabeth Baron | Psychologist | Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2019-08-16 |
1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
1639732571 | Scott A Baldwin | Psychologist | 1190 N 900 E Ofc 285, Provo, UT 84604-3536 | 2019-04-16 |
1407311087 | Hiu Wai Caldwell | Psychologist | 796 E. Pacific Drive Suite B, American Fork, UT 84003-8400 | 2019-02-07 |
1992273734 | Tracy Ellis | Psychologist | 70 N Main St Ste 104, Bountiful, UT 84010-6115 | 2018-11-09 |
1770069981 | Vanessa Blair Watts | Psychologist | 1740 Combe Rd Ste 5, Ogden, UT 84403-5094 | 2018-07-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.