STEVEN LAINE JACKSON

SALT LAKE CITY, UT
NPI1659312213
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: UT  116610-2501)
Enumeration Date2006-06-08
Last Update Date2007-07-08
Business Address
Dr. STEVEN LAINE JACKSON Ph.D.
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Mailing Address
Dr. STEVEN LAINE JACKSON Ph.D.
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565