Organization
PENNY BROOKE JAMESON, PH. D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENNY BROOKE JAMESON PH.D. PSYCHOLOGY (PRESIDENT)
(801) 350-0118
Entity
Organization
Contact information
Practice address
1801 S 2600 E, SALT LAKE CITY, UT 84108-3331
(801) 350-0118
Mailing address
1801 S 2600 E, SALT LAKE CITY, UT 84108-3331
(801) 350-0118
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
277000-2501
UT
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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