Organization
JORDAN RULLO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN ELIZABETH RULLO PHD (PSYCHOLOGIST/MANAGER)
(612) 991-3042
Entity
Organization
Contact information
Practice address
1433 S 1100 E, SALT LAKE CITY, UT 84105-2434
(385) 202-4250
Mailing address
2958 S METROPOLITAN WAY, SALT LAKE CITY, UT 84109-2237
(385) 202-4250
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
UT
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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