Pertab, Jon Leroy

Pertab, Jon Leroy is an sole proprietor health care provider with primary practice located at 5171 South Cottonwood St Suite 810 Neurosciences Institute,, Murray UT 84107. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Pertab, Jon Leroy can be contacted via phone (801) 507-9800.

Contact Information

Primary practice address
5171 South Cottonwood St Suite 810 Neurosciences Institute, Murray UT 84107
Phone: (801) 507-9800
Fax: (801) 507-9800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 7759498-2501 Utah
Behavioral Health & Social Service Providers / Psychologist 103T00000X 7759498-2501 Utah
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7759498-2501 Utah
Behavioral Health & Social Service Providers / Health 103TH0004X 7759498-2501 Utah

Profile Details

NPI number 1215239348
LBN Legal business name Pertab, Jon Leroy
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2010
Last updated May 10th, 2013 - about 12 years ago

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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