Individual
JON BULLOCK SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
363 E 1200 S, OREM, UT 84058-6904
(801) 426-2685
Mailing address
PO BOX 336, OREM, UT 84059-0336
(801) 426-2685
(801) 224-4475
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
266381-2501
UT
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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