Individual
DR. PENNY BROOKE JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
505 E 200 S, STE 303, SALT LAKE CITY, UT 84102-2090
(801) 350-0118
(801) 350-9582
Mailing address
1801 S 2600 E, SALT LAKE CITY, UT 84108-3331
(801) 350-0118
(801) 484-6280
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2770002501
UT
Other
Enumeration date
06/27/2005
Last updated
10/01/2018
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