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Richard Jackson
NPI 1124240197 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2650 West 2700 South
Syracuse, UT 84075 - Phone
- (801) 773-0200
- Organisation at this address
- Elevations Rtc
Island View Residential Treatment CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Rehabilitation Psychologist
103TR0400X
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah