Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON LEROY PERTAB, PH.D.
Active Sole ProprietorJON LEROY PERTAB, PH.D. is a Psychologist healthcare provider located in MURRAY, Utah. NPI 1215239348 is currently active in the NPPES registry. Verify at CMS.
Psychologist · MURRAY, UT
Registration Details
- NPI Number
- 1215239348
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2010 (15.681436778523 yrs)
- Last Updated
- May 10, 2013
- Licenses
-
7759498-2501 (UT)7759498-2501 (UT)7759498-2501 (UT)7759498-2501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5171 SOUTH COTTONWOOD ST SUITE 810NEUROSCIENCES INSTITUTE,MURRAY, UT, 84107Browse UT providers · Browse ZIP 84107
- Phone
- 8015079800
- Fax
- 8015079800
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Health Psychologist
Other Psychologist Providers in MURRAY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. DARRELL HART | PH.D. | 1861452997 |
| MR. GEORGE S BROWN | PHD | 1790846137 |
| DR. AHARON DAVID SHULIMSON | PH.D. | 1255496931 |
| ANTONIETTA ANNA RUSSO | P.H.D. | 1831211895 |
| DR. PAMELA R. AWANA | PH.D. | 1245452861 |
| AMANDA WYRICK | — | 1588858435 |
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.