Redd, Jerry

Redd, Jerry is an sole proprietor health care provider with primary practice located at 1364 W State Rd Suite 204, Pleasant Grove UT 84062-4109. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Redd, Jerry can be contacted via phone (801) 785-8885.

Contact Information

Primary practice address
1364 W State Rd Suite 204 Pleasant Grove UT 84062-4109
Phone: (801) 785-8885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 55044786004 Utah

Profile Details

NPI number 1093111999
LBN Legal business name Redd, Jerry
Credentials PHD, CMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2014
Last updated Nov 5th, 2014 - about 11 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.

Request for update

Popular Providers