Search › Utah › 103TC1900X
Jerry Sandberg, PH.D
NPI 1154400216 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1470 N Main St Ste B
Bountiful, UT 84010 - Phone
- (801) 299-9026
- Fax
- (801) 299-9026
- Organisation at this address
- Martha A. Keil Lcsw Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-15
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