DR. RYAN J LACKNER


Address: 500 Foothill Dr, Salt Lake City, UT 84148-0001
Phone: 8015821565

DR. RYAN J LACKNER (NPI# 1811527468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811527468
Entity Type Individual
Full Name DR. RYAN J LACKNER
Credential PHD
Practice Address 500 Foothill Dr
Salt Lake City
UT 84148-0001
Mailing Address 975 E Garfield Ave Apt 2
Salt Lake City
UT 84105-3377
Practice Telephone 8015821565
Mailing Telephone 5743606884
Enumeration Date 2020-01-23
Last Update Date 2020-01-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
11448769-2501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 500 FOOTHILL DR
City SALT LAKE CITY
State UT
Zip Code 84148-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700889011 Anthony W Middleton Jr. Specialist 500 Foothill Dr, Surgery (urology), Salt Lake City, UT 84148-0001 2005-05-31
1376150953 Annette Sprankle Pharmacist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-28
1912512559 Taylor Nicole Schweitzer Speech-Language Pathologist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-10
1134733421 Cord Speck Nurse Practitioner 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-09-03
1023621232 Thomas Alan Good Lance White Bull Pharmacy Technician 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-26
1376155606 Cassie Dance Psychologist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-18
1255943734 Julia Ann Packard Registered Nurse 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-17
1558972729 Kathleen Sarette Nurse Practitioner 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-12
1154931723 Peter Jerome Torcivia Student in an Organized Health Care Education/Training Program 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-07
1184234262 Rebecca E Montgomery Student in an Organized Health Care Education/Training Program 500 Foothill Dr, Salt Lake City, UT 84148-0001 2020-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598211799 Jacquelyn Rae Contant Dietitian, Registered 500 Foothill Dr. (120), Salt Lake City, UT 84148 2016-08-28
1699127811 Taylor Alford Pharmacist 500 Foothills Drive, Salt Lake City, UT 84148 2016-07-12
1356792162 Sarah Hummel Genetic Counselor, MS 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 2016-06-23
1174936140 Elizabeth Shade Cardenas Nurse Practitioner 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 2014-06-08
1386904043 David Earl Moore Specialist 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 2012-05-29
1790059038 Deborah Ernstein Holley Hartzfeld Genetic Counselor, MS 615 Arapeen Drive #212, Salt Lake City, UT 84148 2012-03-05
1073823720 Diana Lynn Robbins Social Worker 9140 W. Post Road, Las Vegas, NV 84148 2010-10-15
1659534394 Katherine Margaret Dunn Genetic Counselor, MS 500 Foothill Drive (151z), Salt Lake City, UT 84148 2008-07-02
1730381625 Douglas James Ball Medical Genetics Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 2007-06-03
1245339530 Daniel H Priestly Radiology 500 Foothill Dr., Salt Lake City, UT 84148 2006-09-22
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780230433 Carolynne Elizabeth Baron Psychologist Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 2019-08-16
1083133938 Dio Turner II Psychologist 1060 E 100 S Ste 100, Salt Lake City, UT 84102-1582 2017-09-12
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1205202355 Laura Rowley Psychologist 170 S 1000 E Ste 201, Salt Lake City, UT 84102-1403 2015-08-12
1275916223 Amy Bonifay Russell Psychologist 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 2015-07-08
1952710071 The Pearce Institute of Child and Family Psychology, LLC Psychologist 231 E 2100 S, Suite 203, Salt Lake City, UT 84115-2187 2014-08-04
1053728105 Margaret Ruth Moore Psychologist 1726 E Michigan Ave, Salt Lake City, UT 84108-1320 2014-07-21
1316360225 Amanda Lorraine Rapacz Psychologist 239 E Belmont Ave, Salt Lake City, UT 84111-4619 2014-01-28
1134566904 Allison Marie Smith Psychologist 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 2013-06-03
1558611970 New Life Balance, LLC Psychologist 2689 S Highland Dr, Salt Lake City, UT 84106-2774 2012-09-13
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84148

Improve Information

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Dataset Information

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.

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