Individual
DR. JENISE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
160 S 1000 E, SUITE 330, SALT LAKE CITY, UT 84102-1428
(801) 355-0195
(801) 355-0199
Mailing address
160 S 1000 E, SUITE 330, SALT LAKE CITY, UT 84102-1428
(801) 355-0195
(801) 355-0199
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6274715-2501
UT
103TC2200X
Clinical Child & Adolescent Psychologist
6274715-2501
UT
Other
Enumeration date
09/29/2006
Last updated
06/04/2013
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