JEFFREY RUSH

PROVIDENCE, UT
NPI1801113360
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: UT  5180207-2501)
Enumeration Date2010-04-23
Last Update Date2010-04-23
Business Address
-- JEFFREY RUSH Ph.D.
351 MEADOW LN
PROVIDENCE, UT 84332-9818
Phone number: 435-757-3562
Mailing Address
-- JEFFREY RUSH Ph.D.
351 MEADOW LN
PROVIDENCE, UT 84332-9818
Phone number: 435-757-3562
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