Individual
DR. JEREMY J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
30 N 1900 E, 1R55, SALT LAKE CITY, UT 84132-0002
(801) 581-2932
Mailing address
30 N 1900 E, 1R55, SALT LAKE CITY, UT 84132-0002
(801) 581-2932
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
8081803-2501
UT
Other
Enumeration date
06/24/2011
Last updated
11/03/2011
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