Provider Demographics
NPI:1881362994
Name:DOPP, LEANNA
Entity type:Individual
Prefix:
First Name:LEANNA
Middle Name:
Last Name:DOPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 S WOOD BRIAR WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84054-3339
Mailing Address - Country:US
Mailing Address - Phone:805-208-5309
Mailing Address - Fax:
Practice Address - Street 1:748 S WOOD BRIAR WAY
Practice Address - Street 2:
Practice Address - City:NORTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84054-3339
Practice Address - Country:US
Practice Address - Phone:805-208-5309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID41719631041C0700X
UT13402906-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical