institution
Bruce K Jacobson Ph D P C
Adult Mental Health Clinic/Center in Salt Lake City, Utah
NPI 1417913575

Bruce K Jacobson Ph D P C is an Adult Mental Health Clinic/Center based in Salt Lake City, UT and is specialized in Adult Mental Health. Bruce K Jacobson Ph D P C practices in Salt Lake City, UT. The NPI Number for Bruce K Jacobson Ph D P C is 1417913575 and holds a License No. 1162592501 (Utah).

The current practice location address for Bruce K Jacobson Ph D P C is 4190 Highland Dr, Salt Lake City, UT and can be reached out via phone at 801-272-0614 and via fax at 801-272-0678.

Location: 4190 Highland Dr, Salt Lake City, UT, 84124-2600
institution
Provider Profile Details
NPI Number
1417913575
Provider Name
Bruce K Jacobson Ph D P C
Credential
Provider Entity Type
Organization
Address
4190 Highland Dr, Salt Lake City, UT, 84124-2600
Phone Number
801-272-0614
Fax Number
801-272-0678
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4190 Highland Dr
City
State
Zip
84124-2600
Phone Number
801-272-0614
Fax Number
801-272-0678
person
Provider Business Mailing Address Details
Address
4190 Highland Dr
City
State
Zip
84124-2600
Phone Number
801-272-0614
Fax Number
801-272-0678
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
1162592501 (Utah)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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