Whalio Doctors

NPI 1710177357

Bruce W Jasper, PHD

Practitioner Clinical Neuropsychologist Murray, UT

Practice location

Address
5171 S Cottonwood St STE 810, Murray, UT 84107-5705
Phone
(801) 507-9800
Mailing address
PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 11569209-2501 (UT)
Clinical Neuropsychologist
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 001037 (IA)

Registry record

NPI
1710177357
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jul 2007
Record last updated
4 Mar 2021

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.