Jordan Kugler, Ph.D.
Psychologist, Clinical in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1013679935
StatusActive
Last updated in NPPESOct 7, 2021
Details
- NPI
- 1013679935
- Entity type
- Individual (NPI-1)
- Name
- Jordan Kugler
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2021
- Certification date
- Oct 7, 2021
- Last updated
- Oct 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 12443907-2501 | UT | Yes |
Practice location
170 S 1000 E Ste 201Salt Lake City, UT 84102-1403
Phone 402-578-7426
Mailing address
170 S 1000 E Ste 201Salt Lake City, UT 84102-1403
Phone 402-578-7426
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