Individual
JENNIFER R ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2940 W MAPLE LOOP DR STE 303E, LEHI, UT 84043-6036
(801) 641-1798
Mailing address
4479 N SUMMER VIEW DR, LEHI, UT 84043-5947
(434) 249-5104
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
13011824-2501
UT
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
13011824-2501
UT
Other
Enumeration date
01/09/2023
Last updated
07/10/2023
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