IndividualActive
Richard Jackson
NPI 1124240197 · Rehabilitation Psychologist · Syracuse, UT
Provider details
- NPI number
- 1124240197
- Entity type
- Individual
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
2650 West 2700 South
Syracuse, UT 84075
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.