Individual provider · Type 1 NPI

Bruce Kenneth Jacobson, PhD, P.C.

Psychologist · Salt Lake City, UT

NPI number 1679743009 Active

Practice location

4190 Highland Dr, Suite 211
Salt Lake City, UT 84124-2600

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X450510082 (UT)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1679743009

Bruce Kenneth Jacobson, PhD, P.C.'s National Provider Identifier is 1679743009, issued on Feb 29, 2008. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 14, 2018.