Individual
JAY JEPPSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
575 EAST 100 SOUTH, PRICE, UT 84501
(435) 637-2358
(435) 637-9141
Mailing address
PO BOX 867, 105 WEST 100 NORTH, PRICE, UT 84501
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
47701402501
UT
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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