Bruce K Jacobson Ph D P C
NPI #1417913575 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1417913575
- Entity Type
- Organization
- Organization Name
- Bruce K Jacobson Ph D P C
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Apr 26, 2006
- Last Updated
- Mar 16, 2018
Practice Location
- Address
- 4190 HIGHLAND DR
- Address 2
- SUITE 211
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84124-2600
- Phone
- (801) 272-0614
Authorized Official
- Name
- BRUCE K JACOBSON, PH D P C
- Title
- PRESIDENT AND PSYCHOLOGIST
- Phone
- (801) 272-0614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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