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Contact Information

JENISE JENSEN, PHD
160 S 1000 E
SUITE 330
SALT LAKE CITY, UT84102-1428
 Phone: 801-355-0195
 Fax: 801-355-0199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neuropsychologist

103G00000X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JENISE JENSEN · (Female)

NPI Number 1366534943
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/29/2006
Last updated 06/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 6274715-2501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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