Jon Bullock Skidmore, PSY.D.

Clinical Psychologist · Orem, UT

Individual Active NPI

NPI number 1407977903

Practice location

363 E 1200 S
Orem, UT 84058-6904
Phone
(801) 426-2685

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NPI record

NPI
1407977903
Entity type
Individual (Type 1)
Enumeration date
April 2, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 266381-2501 UT

Mailing address

PO Box 336
Orem, UT 84059-0336
Phone
(801) 426-2685
Fax
(801) 224-4475

About Dr. Skidmore

Jon Bullock Skidmore, PSY.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 363 E 1200 S, Orem, UT 84058-6904. The NPI number 1407977903 was assigned on April 2, 2007 and the record was last updated on July 8, 2007.

Dr. Skidmore lists a license in the registry: #266381-2501 (UT) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Bullock Skidmore, PSY.D.?

The NPI number is 1407977903.

What is the phone number of Dr. Skidmore?

The phone number listed for the practice location is (801) 426-2685.

Where is Dr. Skidmore located?

363 E 1200 S, Orem, UT 84058-6904.

What is the taxonomy code for Dr. Skidmore?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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