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Contact Information

JEREMY J DAVIS, PSY.D.
30 N 1900 E
1R55
SALT LAKE CITY, UT84132-0002
 Phone: 801-581-2932
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for JEREMY J DAVIS · (Male)

NPI # 1922394220
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 06/24/2011
Last updated 11/03/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 8081803-2501
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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