Richard Jackson
Rehabilitation Psychologist
2650 West 2700 South
Syracuse
, Utah 84075
Richard Jackson
Rehabilitation Psychologist
2650 West 2700 South
Syracuse
, Utah 84075
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About
Features
Specialties
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Richard Jackson
- 2650 West 2700 South
- Syracuse, UT
- Zip : 84075
- Phone :
Second Address
- Richard Jackson
- 2650 West 2700 South
- Syracuse, UT
- Zip : 84075
- Phone : (801) 773-0200
Reviews
FAQs
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What type of doctor is Richard Jackson
In what state does Richard Jackson practice in?
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What is Richard Jackson ’s gender?
Is Richard Jackson a sole practitioner?
Is Richard Jackson accepting new patients?
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Does Richard Jackson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1124240197 |
|---|---|
| Provider Name | Richard Jackson |
| First Address | Syracuse, UT 84075 |
| Second Address | Syracuse, UT 84075 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2007 |
| Last Update Date | 08/07/2007 |
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.