Individual
DR. BRYAN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1703 DRESDEN RD APT A, RICHMOND, VA 23229-4037
(801) 830-5593
Mailing address
629 ORCHARD DRIVE APT 8, BOUNTIFUL, UT 84010
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10235130-2501
UT
Other
Enumeration date
08/04/2014
Last updated
07/05/2017
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