BRUCE K. JACOBSON
Ambulatory Health at Highland Dr, Salt Lake City, UT

License number
Utah 1162592501
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. BRUCE K. JACOBSON PH.D.
Title: PRESIDENT AND PSYCHOLOGIST
Phone: (801) 272-0614
Address
Address
4190 Highland Dr SUITE 211, Salt Lake City, UT 84124
National Provider ID: 1417913575
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BRUCE K. JACOBSON at bizstanding.com

BRUCE K. JACOBSON, PH.D., PC

4190 Highland Dr STE 211, Salt Lake City, UT 84124

Registration:
Oct 29, 2009
State ID:
7503681-0144
Business type:
Corporation - Professional
Agent:
Bruce K Jacobson,4190 Highland Dr STE 211, Salt Lake City, UT 84124 (Physical)

Ambulatory Health licenses in Utah










Other Doctors licenses in Utah