Whalio Doctors

NPI 1366534943

Jenise Jensen, PHD

Practitioner Clinical Neuropsychologist Salt Lake City, UT

Practice location

Address
160 S 1000 E Suite 330, Salt Lake City, UT 84102-1428
Phone
(801) 355-0195
Fax
(801) 355-0199

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 6274715-2501 (UT)
Clinical Child & Adolescent Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 6274715-2501 (UT)

Registry record

NPI
1366534943
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Sep 2006
Record last updated
4 Jun 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.