Individual
DR. JULIA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1060 E 100 S, SUITE 100, SALT LAKE CITY, UT 84102-1501
(801) 300-0466
(435) 608-6380
Mailing address
1060 E 100 S, SUITE 100, SALT LAKE CITY, UT 84102-1501
(801) 300-0466
(435) 608-6380
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
81177762501
UT
Other
Enumeration date
11/29/2011
Last updated
05/14/2015
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