Bruce K Jacobson Ph D P C
Bruce K Jacobson Ph D P C is an Adult Mental Health Clinic/Center in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
Practice location Address checks out
4190 Highland Dr Ste 211Salt Lake City, UT 84124-2600
Phone: (801) 272-0614
Fax: (801) 272-0678
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Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X · Licence 1162592501 (UT) |
|---|
Record details
| NPI number | 1417913575 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bruce Jacobson — President And Psychologist · (801) 272-0614 |
| NPI enumerated | April 26, 2006 |
| Last updated in NPPES | March 16, 2018 |
| Mailing address | 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 |
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