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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAIME BERCUSON, M.A., PSY.D.

Active Sole Proprietor

DR. JAIME BERCUSON, M.A., PSY.D. is a Clinical Psychologist healthcare provider located in PARK CITY, Utah. NPI 1932332012 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · PARK CITY, UT

Registration Details

NPI Number
1932332012
Provider Type
Individual
Gender
Female
NPI Issued
Aug 24, 2009 (16.928389706559 yrs)
Last Updated
Nov 10, 2020
Licenses
PSY26093 (CA)
PY8969 (FL)
10389140-2501 (UT)
Sole Proprietor
Yes

Practice Information

Address
1389 CENTER DR STE 200
PARK CITY, UT, 840987660
Browse UT providers · Browse ZIP 84098
Phone
7274519223
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in PARK CITY, UT

Name Credential NPI
DR. JOHN ROBERT TAYLOR PHD 1659431401
DR. COREY MAXWELL GALE PSY.D. 1699899344
DR. JENNIFER A CHRYSTAN PH.D. 1982834800
DR. JESSICA MICHELLE TRUSKOWSKI ROBNETT PSYD 1306209317
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.