Provider Demographics
NPI:1033460142
Name:LAMOREAUX, LAURA ANN (PSYD)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ANN
Last Name:LAMOREAUX
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:693 E 425 S
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84404-2442
Mailing Address - Country:US
Mailing Address - Phone:435-734-9449
Mailing Address - Fax:435-723-4851
Practice Address - Street 1:663 W 950 S
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-3021
Practice Address - Country:US
Practice Address - Phone:435-734-9449
Practice Address - Fax:435-723-4851
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8782519-2501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist