Jon Leroy Pertab
Psychologist Health Psychologist Clinical Psychologist
5171 South Cottonwood St Suite 810 Neurosciences Institute,
Murray
, Utah 84107
Jon Leroy Pertab
Psychologist Health Psychologist Clinical Psychologist
5171 South Cottonwood St Suite 810 Neurosciences Institute,
Murray
, Utah 84107
(801) 507-9800
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About
Features
Specialties
- Clinical Psychologist
- Psychologist
- Health Psychologist
Languages spoken
- English
Location
First Address
- Jon Leroy Pertab
- 5171 South Cottonwood St Suite 810 Neurosciences Institute,
- Murray, UT
- Zip : 84107
- Fax : (801) 507-9800
- Phone : (801) 507-9800
Second Address
- Jon Leroy Pertab
- 5171 South Cottonwood St Suite 810 Neurosciences Institute,
- Murray, UT
- Zip : 84107
- Fax : (801) 507-9800
- Phone : (801) 507-9800
Reviews
FAQs
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What type of doctor is Jon Leroy Pertab
In what state does Jon Leroy Pertab practice in?
Where is Jon Leroy Pertab ’s practice located?
What is Jon Leroy Pertab ’s gender?
Is Jon Leroy Pertab a sole practitioner?
Is Jon Leroy Pertab accepting new patients?
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Does Jon Leroy Pertab offers telemedicine?
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What is Jon Leroy Pertab ’s NPI number?
Does Jon Leroy Pertab have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 7759498-2501 | UT |
| N | 103TC0700X | Clinical Psychologist | 7759498-2501 | UT |
| Y | 102L00000X | Psychologist | 7759498-2501 | UT |
| Y | 103T00000X | Psychologist | 7759498-2501 | UT |
| N | 103G00000X | Clinical Psychologist | 7759498-2501 | UT |
| N | 103TC0700X | Clinical Psychologist | 7759498-2501 | UT |
| N | 103TH0004X | Health Psychologist | 7759498-2501 | UT |
National Provider Identifier
| NPI | 1215239348 |
|---|---|
| Provider Name | Jon Leroy Pertab |
| First Address | Murray, UT 84107 |
| Second Address | Murray, UT 84107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2010 |
| Last Update Date | 10/05/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.