Individual
DR. JEFFREY BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
395 W COUGAR BLVD STE 803, PROVO, UT 84604-3728
(801) 235-7246
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
8677027-2501
UT
103T00000X
Psychologist
8677027-2501
UT
Other
Enumeration date
01/09/2017
Last updated
04/30/2026
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