Bustamante, Jamie Leigh

Bustamante, Jamie Leigh is an individual health care provider with primary practice located at 409 W 400 S , Salt Lake City UT 84101-1135. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Bustamante, Jamie Leigh can be contacted via phone (801) 364-0058.

Contact Information

Primary practice address
409 W 400 S Salt Lake City UT 84101-1135
Phone: (801) 364-0058
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4602 Arizona
Behavioral Health & Social Service Providers / Counseling 103TC1900X 102501922501 Utah

Profile Details

NPI number 1982097127
LBN Legal business name Bustamante, Jamie Leigh
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2015
Last updated Aug 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982097127 NPPES
Utah MEDICAID 1982097127
Utah MEDICAID 20504

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