Individual
DR. JONATHAN DAVID BONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
370 E SOUTH TEMPLE, SUITE 550, SALT LAKE CITY, UT 84111-1206
(801) 419-8558
Mailing address
2646 JASPER ST, SALT LAKE CITY, UT 84106-2208
(801) 487-4850
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6314549-2501
UT
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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