DR. JENISE JENSEN PHD
Clinical Neuropsychologist
Salt Lake City, Utah
Provider NPI: 1366534943
Provider Information:DR. JENISE JENSEN PHD
Gender: F
Not Sole Proprietor
Practice Location:
160 S 1000 E SUITE 330 SALT LAKE CITY, UT 84102 US
Tel: 801-355-0195 Fax: 801-355-0199
Business Mailing Address:
160 S 1000 E SUITE 330 SALT LAKE CITY, UT 84102 US
Tel: 801-355-0195 Fax: 801-355-0199
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | UT | 6274715-2501 |
N | 103TC2200X | Behavioral Health & Social Service Providers Psychologist | UT | 6274715-2501 |