Jerry Lynn Sandberg in Bountiful - Counseling

Jerry Lynn Sandberg - NPI 1154400216

Jerry Lynn Sandberg is a Counseling in Bountiful, Utah. Jerry Lynn Sandberg practices all healthcare services and medical treatments related to Counseling. The NPI Number for Jerry Lynn Sandberg is 1154400216. The last update date is 2012-06-15.

Jerry Lynn Sandberg's current location address is 1470 N Main St Ste B, Bountiful, Utah. You can contact this provider via phone number 8012999026 and fax number 8012999026. The mailing address for Jerry Lynn Sandberg is 1470 N Main St Ste B, Bountiful, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Lynn Sandberg
Address 1470 N Main St Ste B, Bountiful, Utah
Phone Number 8012999026
Fax Number 8012999026
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1154400216
Provider Enumeration Date 2006-11-02
Last Updated Date 2012-06-15

Provider Mailing Address Detail

Address 1470 N Main St Ste B
City Bountiful
State Utah (UT)
Post Code 840105996
Phone Number 8012999026
Fax Number 8012999026

Provider's Primary Taxonomy Detail

Speciality Counseling
Taxonomy 103Tc1900X
Licence No 117488-2501
Definition:
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c

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FAQs about Jerry Lynn Sandberg

What is the Jerry Lynn Sandberg's unique identification number?

The Jerry Lynn Sandberg has been assigned the NPI (National Provider Identifier) Number 1154400216 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Jerry Lynn Sandberg's facilities are geographically located?

The facilities of Jerry Lynn Sandberg are physically situated at the following location: 1470 N Main St Ste B, Bountiful, UT, 840105996.

What is Jerry Lynn Sandberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jerry Lynn Sandberg is Counseling, and the taxonomy code that classifies this field of practice is 103Tc1900X.

On what date did the Centers for Medicare & Medicaid Services issue the 1154400216 to Jerry Lynn Sandberg?

The Jerry Lynn Sandberg received its 1154400216 assignment from the Centers for Medicare & Medicaid Services on 2006-11-02.

When was the information related to Jerry Lynn Sandberg most recently updated or refreshed?

The details pertaining to the Jerry Lynn Sandberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-15.

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