NPI 1215239348

Jon Leroy Pertab, PHD

Practitioner Psychologist Murray, UT

Practice location

Address: 5171 South Cottonwood St Suite 810 Neurosciences Institute,, Murray, UT 84107
Phone: (801) 507-9800
Fax: (801) 507-9800

Registered specialties (4)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 7759498-2501 (UT)

Other Psychologist providers in Utah →

Clinical Neuropsychologist

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 7759498-2501 (UT)

Other Clinical Neuropsychologist providers in Utah →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 7759498-2501 (UT)

Health Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TH0004X Licence 7759498-2501 (UT)

Registry record

NPI: 1215239348
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Nov 2010
Record last updated: 10 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.