Individual
DR. JENNIE LYN BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7533 S CENTER VIEW CT STE R, WEST JORDAN, UT 84084-5526
(801) 380-9664
Mailing address
7533 S CENTER VIEW CT STE R, WEST JORDAN, UT 84084-5526
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8788382-2501
UT
Other
Enumeration date
02/15/2019
Last updated
01/02/2024
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