Richard Jackson
Richard Jackson is a Rehabilitation Psychologist in Syracuse, Utah. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2650 W 2700 SSyracuse, UT 84075
Phone: (801) 773-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Psychologist (primary) | Taxonomy 103TR0400X |
|---|
Record details
| NPI number | 1124240197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 2650 West 2700 South, Syracuse, UT 84075 |