Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY LYNN SANDBERG, PH.D.
Active Sole ProprietorDR. JERRY LYNN SANDBERG, PH.D. is a Counseling Psychologist healthcare provider located in BOUNTIFUL, Utah. NPI 1154400216 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · BOUNTIFUL, UT
Registration Details
- NPI Number
- 1154400216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2006 (19.81088070409 yrs)
- Last Updated
- Jun 15, 2012
- License
-
117488-2501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1470 N MAIN ST STE BBOUNTIFUL, UT, 840105996Browse UT providers · Browse ZIP 84010
- Phone
- 8012999026
- Fax
- 8012999026
- Primary Specialty
-
Counseling Psychologist
103TC1900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.