Bercuson, Jaime

Bercuson, Jaime is an sole proprietor health care provider with primary practice located at 1389 Center Dr Ste 200 , Park City UT 84098-7660. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bercuson, Jaime can be contacted via phone (727) 451-9223.

Contact Information

Primary practice address
1389 Center Dr Ste 200 Park City UT 84098-7660
Phone: (727) 451-9223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY26093 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY8969 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X 10389140-2501 Utah

Profile Details

NPI number 1932332012
LBN Legal business name Bercuson, Jaime
Credentials M.A., PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2009
Last updated Nov 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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