Search › Utah › 103TC0700X
Jay Jensen, PH.D
NPI 1922213438 · on the registry since 2007 · sole proprietor
Practice
- Address
- 811 N University Ave
Provo, UT 84604 - Phone
- (801) 377-9660
- Fax
- (801) 377-5050
- Organisation at this address
- Academy For Child Advocacy And Family Support
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- 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