JON BULLOCK SKIDMORE

OREM, UT
NPI1407977903
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: UT  266381-2501)
Enumeration Date2007-04-02
Last Update Date2007-07-08
Business Address
-- JON BULLOCK SKIDMORE Psy.D.
363 E 1200 S
OREM, UT 84058-6904
Phone number: 801-426-2685
Mailing Address
-- JON BULLOCK SKIDMORE Psy.D.
PO BOX 336
OREM, UT 84059-0336
Phone number: 801-426-2685