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:
Health care specialties
Specialty | Code | License # | 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 11 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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